Monthly once - CPT codes for Medicaid

ramcpc

Contributor
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Hi All,

I have received denial for the cpt code 99308 from MEDICAID stating "99308 will be paid monthly once". But per CPT, this is the code for per day service and other insurance's are paid for the same service. I just want to know is there any list of CPT procedure codes that would be paid by MEDICAID in monthly once basis. If it is there, where I will get those cpt codes?

Thanks,
B.T.RamKumar.
 

ajs

True Blue
Local Chapter Officer
Messages
1,087
Location
Tacoma, WA
Best answers
0
Hi All,

I have received denial for the cpt code 99308 from MEDICAID stating "99308 will be paid monthly once". But per CPT, this is the code for per day service and other insurance's are paid for the same service. I just want to know is there any list of CPT procedure codes that would be paid by MEDICAID in monthly once basis. If it is there, where I will get those cpt codes?

Thanks,
B.T.RamKumar.
You need to contact your state Medicaid office and see if they have established separate rules or billing guidelines. Per Medicare guidelines the code is allowed once per day.
 
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