Wiki G Codes/Medicare/ICD Pointers

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Hello,
I work for a FQHC and we seem to be receiving a high amount of denials from Medicare. I noticed that our coders are correctly adding the G-code to the claims but using more than one ICD pointer on the claim for the G code. I thought I read in my course for CPB that Medicare only allows 1 pointer per code. Is this true? They are also adding the G code as the first code on the claim.

Thank you
 
G codes/Medicare/ICD Pointers

I'm assuming you are referring to the PQRS G codes.
If so, you are correct. Medicare instructs to link the G code to one diagnosis code. I would place the G code last, not first.
Also be sure that the G code shows up on the same claim page with the other codes for the same date of service. For instance, if you are billing on HCFA-1500, there are only 6 claim lines available. You may have to split the claim to ensure that the G code isn't separated from the CPT codes on that date of service. The charge for the G code line should be $.01 . Hope this helps.
 
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