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Medicare Preventative G0101

jaud63

Networker
Local Chapter Officer
Messages
76
Best answers
0
Does anyone have any information regarding other insurance carriers that require this code for billing? Does UCARE for seniors accept this code?
 

slwitt

Guest
Messages
22
Location
Dayton, Ohio
Best answers
0
PFFS Plan

My understanding was the Medicare Replacement plans were to follow Medicare rules also. However, I have received denials for the Q0091 stating "procedure is incidential to primary procedure." When the plan is called they state that the codes will be reimbursed separately with the proper modifiers; but they do not follow Medicare Guidelines for fee for service plans.

Does anyone have suggestions, I am thinking 90 on the Q0091 but am not quite sure.
 
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