Wiki G0101/Q0091/S0610/S0612 annual exams!

[lsilbaugh]

Hello I am looking for some clarification on billing these Medicare/blue codes.


Do we add these codes onto the annual exam cpts? (ex:99394-99397) or if its a Medicare patient we can bill G0101 and Q0091 or BCBS s0610/s0610 by itself?

Clear guidelines on this would be so helpful. Thank you!

 

[nielynco]

Hello I am looking for some clarification on billing these Medicare/blue codes.


Do we add these codes onto the annual exam cpts? (ex:99394-99397) or if its a Medicare patient we can bill G0101 and Q0091 or BCBS s0610/s0610 by itself?

Clear guidelines on this would be so helpful. Thank you!

I created the attached document with regard to billing Medicare which you might find helpful. It includes different scenarios, use of the codes (both CPT and ICD10) and references in case anyone wants to know "where does it say that." I have updated it to reflect rules in effect in 2024.

 

[lsilbaugh]

I created the attached document with regard to billing Medicare which you might find helpful. It includes different scenarios, use of the codes (both CPT and ICD10) and references in case anyone wants to know "where does it say that." I have updated it to reflect rules in effect in 2024.

thank you!