Indicator-X Statutory Exclusion

caroline

Guru
Messages
120
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0
Hello,
The code Q4030 has an indicator X on Medicare fee schedule, which indicates in a shorter version no payment may be made under the physician fee schedule.

Can anyone suggest my next step or where I should go to see payment from Medicare?
Thank you.
 

cmcgarry

Guest
Messages
358
Location
Sioux Falls South Dakota
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You won't be able to get reimbursement from Medicare; they state that the supplies are bundled into the cast application/fracture care codes. You also can't bill the patient for this unless you had them sign an ABN prior to the treatment/charge took place.
 
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