wilccm
Contributor
Can these be billed together. The way I understand it; both of these codes are wellness codes and we should only bill 1.
I need help. Can these be billed together? as when to check g0439 or 99397. what is the difference? the way I understand it; both codes are welfare codes and we only have to invoice 1.
Medicare will not accept AWV and preventive together even if the document supports. However, UHC Medicare is accepting AWV & Preventive on same day by same PCP, as long as the components of both are documented. No need to append 25 modifier to either of these. Hope this helps...Can these be billed together. The way I understand it; both of these codes are wellness codes and we should only bill 1.
One is "hands off", the G0439, it's for documenting all chronic conditions, reviewing other things like an advance directive annually etc. The Physical exam is the "hands on" portion, only covered by MA plans not traditional Medicare, checking vitals, listing to heart and lungs, etc.UHC advantage plan
UHC advantage plan states that they will pay for G0439 and a physical 99396 etc. Together on the same day by the same provider. They state that it is not the same. I am having a hard time with this, I realize they are some different but it seems like double billing to me. Thoughts??