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Wiki FQHC and G codes

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KolarSue

Networker
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Location
Swansea, MA
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Hello,
I have billed G0468 and Medicare is denying our claims because a qualifying visit is not listed on the claim.
The qualifying code choices are G0402, G0438 or G0439. Does Medicare pay for both a G0468 and a qualifying code on the same claim?

(Are these to be billed with a fee or a $01 to get them on the claim so Medicare sees the code).
Thanks!
 
You need both codes

You need to have two codes on the claim. The qualifiying visit and the g code. Medicare requires both but only pays on one. You should have G0438 and G0468. Both codes should have a real charge.

Heather CPC, CRC
 
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