A patient came in for a preventive visit in 2018; code 99396 was billed out to his commercial insurance. His coordination of benefits was recently updated (his Medicare is now primary for DOS) and the commercial insurance then recouped the payment earlier this year, so we billed the patient for it, but the patient says to bill Medicare.
As far as I know, we can't change the code to G0438/G0439 and Medicare does not pay for 99396, so I think it's patient responsibility. Am I correct in this?
As far as I know, we can't change the code to G0438/G0439 and Medicare does not pay for 99396, so I think it's patient responsibility. Am I correct in this?