G0283 - electrical stimulation

Marybeth

Networker
Local Chapter Officer
Messages
37
Location
Bradenton, FL
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0
We are in need of getting G0283 - electrical stimulation - paid. Does it need a 97032 with it or a special modifier that we do not know of?
 

MARY K

Networker
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82
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When we submit cpt 97032 to medicare we use a gp modifier. Are you billing 97032 with any other procedure? Per cme part b billing scenarios for PTs and OTs.
Also any two CPT codes for modalities requiring"constant attendance" and direct one-on-one patient contact(requiring direct one-on-one patient contact(CPT 97032-97039)
 

hopepg

Guru
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121
Location
Tulsa
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Medicare, MAPs, UHC & some other payers reimburse the G0283 when other payers prefer the CPT code 97014 instead.
I'd call the payer that is denying G0283 & ask them if they prefer the CPT 97014 instead.
If you don't get anywhere there, see if you can run a report in your practice management software which will show which payers reimbursed on either of those codes..that might give you a clearer idea of which code is preferred by which plans.
Just my opinion...
 

Marybeth

Networker
Local Chapter Officer
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37
Location
Bradenton, FL
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Our physician performs unattended services - G0283. However Florida does not have an LCD that supports any diagnosis and we cannot get this paid. Any assistance would be appreciated.
 
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164
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We bill 97014 for all insurance except for Medicare/Medicare Plue Blue when we use G0283

They are not required to be billed with another proc code.

What is the rejection???
 

hopepg

Guru
Messages
121
Location
Tulsa
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Our physician performs unattended services - G0283. However Florida does not have an LCD that supports any diagnosis and we cannot get this paid

Who is the payer (insurance) & what does their denial say?
 
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