Wiki Medicare reimbursement for e-stem (g0283)

[lbporter]

I am having trouble getting Medicare to reimburse the G0283 code for E-stem performed in the Chiropractic setting. Does it only cover it with certain diagnosis codes? Any help would be greatly appreciated.

 

[CodingKing]

Medicare benefit is manual manipulation for subluxation of the spine so I don't think you can bill any modalities.

 

[hopepg]

I am unfamiliar with Chiropractic coding so I am not sure of specific specialty requirements. That being said, I bill for this code to Medicare (& other Medicare plans) when performed by a physical therapist & we append a modifier GP.
I suggest maybe verifying if there are modifier requirements for your specialty when billing this code.

 

[mjhooyer1]

Medicare only covers codes 98940, 98941, and 98942