LORA CRAWFORD
Networker
I have a question regarding G0105/G0121 v. 45378.
The G codes pays less money(only on the facility side) and when I went to the CMS website it said you should use the G codes not that you have to. Asking other billers and coders in the area I got a lot of different responses. One facility always changes to the G code. Another response I received was a colonoscopy is colonoscopy and it is the dx code that is the driving force (then why the difference in pymt). Another person said that what I read on the CMS website is a guideline and not a rule. So just wanting to know what everyone else is doing.
Thanks for the input.
Lora M. Crawford, CPC
The G codes pays less money(only on the facility side) and when I went to the CMS website it said you should use the G codes not that you have to. Asking other billers and coders in the area I got a lot of different responses. One facility always changes to the G code. Another response I received was a colonoscopy is colonoscopy and it is the dx code that is the driving force (then why the difference in pymt). Another person said that what I read on the CMS website is a guideline and not a rule. So just wanting to know what everyone else is doing.
Thanks for the input.
Lora M. Crawford, CPC