Wiki G8427

[aosborne88]

Hi everyone. I currently work for a multispecialty mobile practice that sees patients in office, in SNFs, assisted living and group homes. Our previous billing manager was having us put G8427 on every encounter with $0.01 no matter the encounter. We have noticed that we never get paid for these but she had mentioned that it is for reporting purposes only and that we get a reimbursement from Medicare each year for this.

How true is this and is any one else using it on their encounters as such? We are discussing dropping it as we use E/M codes that we feel imply that the providers are managing and reviewing medications anyways. Any help is much appreciated.

 

[surfergirl]

That code is for MIPS reporting purposes only. However that code is for MEDICATION RECONCILATION (REVIEW OF CURRENT MEDICATION'S IN PATIENT CHART). If you report MIPS for the Quality Payment Program (QPP) the $0.01 is assigned to that sent to Medicare and they acknowledge it for the QPP program. Hope this helps you