Wiki G0289

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cpccpma

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I would like to know if other offices are running into this problem.....work comp has started denying 29877 stating the correct code is G0289-no problem. We started billing the G0289 with the same price as 29877 due to the Colorado work comp fee schedule-which shows that the allowable for the G-code is over $1000.00. Now they are saying that they go by the Medicare allowable and that is all they are paying.....come on.....which fee schedule are they gonna use....pick one:mad:! Anyone else running into this? Thanks in advance!
 
Work comp payments

Wow! I'm not sure about Colorado, but here in South Dakota W/C carriers must abide by the state fee schedule for work comp - they can't just arbitrarily decide to pay the Medicare allowance because it's less that what the state says! I would check with your state Department of Labor about that.
 
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