Wiki G0283 - electrical stimulation

Marybeth

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Elizabethton , TN
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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?
 
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)
 
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...
 
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.
 
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???
 
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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