• 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 Wheel Chair eval for Medicare

Create Wiki
M

marguimo

Guest
Messages
3
Best answers
0
Specialy PM&R Physiatry - We are getting a bunch of this request, Medicare guidelines have been updated to exaustive paper work and documentation. For a face to face eval for about 60 minutes, what will be the right codes to use besides the 99215 or 99205? Perhaps eomthing else or a whole new code?

Thanks in advance.

MG:)
 
marguimo said:
Specialy PM&R Physiatry - We are getting a bunch of this request, Medicare guidelines have been updated to exaustive paper work and documentation. For a face to face eval for about 60 minutes, what will be the right codes to use besides the 99215 or 99205? Perhaps eomthing else or a whole new code?

Thanks in advance.

MG:)
Click to expand...

Is it for manual wheelchair, or the power scooter-type chairs?
 
We for both, but the one its requiring this long form and extended face to face is for the power one. Thank you!:)
 
marguimo said:
We for both, but the one its requiring this long form and extended face to face is for the power one. Thank you!:)
Click to expand...

Look at G0372...I just had to look into this yesterday for one of my PM&R docs. This code is to cover the time required for the extensive forms they have to fill out. You can bill this in addition to the E/M service for the History and Physical required to determine the need for the PMD. It really doesn't pay a lot (I believe just under $10, depending on your location), but it's better than nothing! There's also a couple of previous threads on this, just search the G0372. See section 30--- of this Medicare Manual:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

HTH!!
 
You must log in or register to reply here.
Top