bonnienorth55
Networker
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Hi all, I'm hoping to get some clarification on this. We are unsure if we are supposed to bill a patient the fee for G0101 if Medicare is denying due to it not being after the 24 months when billed with a preventive code. Example: We billed 99397 with G0101. Medicare denied G code and patient does not have a supplemental insurance. There has been conflicting information within our clinic where some believe the fee for G0101 should be adjusted from the 99397 fee before billing the patient. Others think the patient should be billed the full amount for both codes. I'm having a hard time finding information on this specific scenario (am only finding how to carve out when Medicare DOES pay on the G code). Any feedback would be greatly appreciated!
Thank you!
Thank you!