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E/M with modifier gt and 95 denied for bundling/inclusive

A

antimolinergic@gmail.com

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San Juan, PHI
AETNA E/M with mod gt and 95 is denying claims as inclusive/bundling. Should this be even bundling since this is a telehealth. Please provide additional information and rationale of the denial.
 
Worxs43 said:
Wondering by chance if the visit maybe hitting against a previous visit that is within a global period, maybe the patient had a 10 or 90 day procedure done in which the telehealth visit has fallen within the global
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We do not have any data yet pertaining to it being global. I was just wondering if there were new guidelines due to COVID.
 
Our CBO provided us with a sheet instructing us to use either -GT or -95 (depending on the payer) as the modifier for telehealth services. Perhaps that will explain the denial if you are using both on the same claim?
 
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