• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Medicare Preventative G0101

Create Wiki
E

Exptcdr

Networker
Local Chapter Officer
Messages
87
Location
Spring Valley, WI
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?
 
My understanding is that any of the Medicare Advantage/Replacement plans follow the Medicare rules. We bill these plans just like Medicare.
 
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.
 
You must log in or register to reply here.
Top