Wiki Physical Therapy & Medicare G Codes

[Roseann Volpi]

Is it required to use G Codes for patients who are in Medicare Supplemental Plans, i.e AARP Medicare Complete.

 

[capricew]

In my opinion, and practice, any plan that replaces Medicare is to be billed as if it were Medicare. The patient is Medicare eligible, they have just chosen a commercial carrier to administer their Medicare benefit. Therefore, if Medicare requires a G-Code then we bill a G code unless the commercial carrier specifically states to not use G codes. The commercial carrier is being reimbursed by Medicare for administering the benefit - so they too most likely have to report the G codes.