• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

G0439 with G0444

rdesai7

New
Messages
6
Best answers
0
I am confused on billing G0444 with G0439.


Is -59 modifier acceptable on G0444 if billing with G0439, or G0444 can be billed without a modifier?

Is -25 modifier acceptable on G0439? I thought -25 modifier is allowed on E/M codes, like 99213, etc.

Please help me understand the modifiers, any help is greatly appreciated!! :)
 

jhendrix08

Guru
Messages
142
Best answers
0
I keep hoping that someone will respond to your question, as I have the same one. I've done some research and it's very split...some say G0444 CAN be billed with G0439 and some say it's included and will be bundled with G0439.

Have you found anything new since your post? Thanks!!
 

Pathos

Expert
Messages
406
Location
Beaverton OR
Best answers
0
Hello,

G0444 may not be billed with G0402 (IPPE) and G0438 (Initial AWV). However, if furnished and properly documented you CAN bill G0444 with G0439 (subsequent AWV). I would not use Modifier 25 on AWV/IPPE due to the nature of the non-E/M visit, however Modifier 59 and XU might be appropriate.

However, check with your local MAC as they generally have guidelines on AWV billings.

Hope this helps!

Source:

Noridian (local MAC)
 
Messages
3
Best answers
0
G0439 AND G0438 DX code

Could someone tell me if there is a certain DX code that needs to be used when billing with G0439 and G0438.
Say a patient comes in for their Preventive Annual visit and they also want to talk with the provider regarding COPD. Would two E/M levels be used?

Thank you in advance.
 
Top