kschulte71
Guest
We are being told by our Coding department that the GA modifier needs to be added to the G0008 charge for Flu Administration. Has anyone heard this?
This is what I got from my coder:
"Patient came in last year and got a flu vaccine, Pneumonia vaccine, and DTap vaccine all on the same date. Medicare is now stating that G0008 & G0009 must have a modifier attached because they are being billed with 90471. Does anyone know what modifier they are looking for? Thanks for your help.
You need to bill with GA modifier with "G" CPT codes because 90471 is mutually exclusive with G codes as per Medicare."[/B]
Here is what was billed:
G0008
Q0238
90471
90715
99214-25
We are getting an edit in our billing software (CCI Edit) that a mod is needed on G0008. What would be appropriate mod?
This is what I got from my coder:
"Patient came in last year and got a flu vaccine, Pneumonia vaccine, and DTap vaccine all on the same date. Medicare is now stating that G0008 & G0009 must have a modifier attached because they are being billed with 90471. Does anyone know what modifier they are looking for? Thanks for your help.
You need to bill with GA modifier with "G" CPT codes because 90471 is mutually exclusive with G codes as per Medicare."[/B]
Here is what was billed:
G0008
Q0238
90471
90715
99214-25
We are getting an edit in our billing software (CCI Edit) that a mod is needed on G0008. What would be appropriate mod?
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