• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Telehealth visit during ER visit

mevans303

Contributor
Messages
15
Location
Lexington, KY
Best answers
0
Hello, I am reviewing a chart where they coded 99285 and G0463 on the same claim which denied. I have two questions: 1.) if these were documented appropriately and coded together, wouldn't we need to have a 27 modifier on the G-code for Medicare claims? 2.) I really don't think the G0463 should be coded based on the chart documenation which says the patient was awaiting transfer approval from the ER to an inpatient behavioral health facility ( not affiliated ). G0463 was apparently chosen because the patient did a zoom call with the intake coordinator at the behavioral health facility. It was not with one of our providers. Can I get an opinion on that?
 
Top