Prostate exam with AWV

nc_coder

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We have received denials for G0102 (V76.44) when filed with G0438 as bundled services. I have looked all over the Medicare website and cannot find information to support this denial. In fact, I have found articles that say these can be used together. Can anyone help me find why we would be receiving these denials?
 
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Is the individual an eligible beneficiary who is no longer within the 12 month period after the effective date of his/her Medicare Part B coverage period and has not received either an IPPE or AMW providing PPPS within the last 12months?
 

nc_coder

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No. The G0438 was filed correctly. This is a beneficiary that has been on Medicare longer than 12 months and this was the initial AWV.
 
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