Codes Medicare will pay for AAA, G0389's Wiki

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    Codes Medicare will pay for AAA, G0389

    Once upon a time, the abdominal aortic aneurysm (AAA) screening was tied to the Medicare Initial Preventive Physical Examination (IPPE), not because it was included in/part of the IPPE, but because you needed a referral at the time of the IPPE to allow coverage for the AAA screen. That’s not been the case since late 2014.
    (see https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8881.pdf for more information)

    Use 2017 CPT® code 76706 Ultrasound, abdominal aorta, real time, with image documentation, screening study for abdominal aortic aneurysm (AAA) for AAA screening. Effective Jan. 1, 2017, CPT® code 76706 replaced HCPCS Level II code G0389 (see https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9888.pdf). You would bill separately the IPPE because it is not tied to the AAA screening. The appropriate code to report the IPPE visit is G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment.
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