Results 1 to 2 of 2

Billing TCM & G0506 Together

  1. Default Billing TCM & G0506 Together
    New Call-to-action
    Hello,

    Looking for some feedback on billing TCM and CCM code G0506 together. It's been brought to our attention that these are denying when billed together. Wondering if a simple -25 modifier would fix or if this isn't allowed. Can't seem to find any clear documentation in the guidelines.

    Thanks!

  2. Default TCM and CCM planning
    Quote Originally Posted by kgardner05 View Post
    Hello,

    Looking for some feedback on billing TCM and CCM code G0506 together. It's been brought to our attention that these are denying when billed together. Wondering if a simple -25 modifier would fix or if this isn't allowed. Can't seem to find any clear documentation in the guidelines.

    Thanks!
    Code G0506 is only reported for comprehensive assessment and creation of a care plan in conjunction with the initiating visit for chronic care management. It would not be reported in conjunction with transitional care management. Transitional care management includes one face-to-face visit.

    Cindy

Similar Threads

  1. G0506 ccm
    By brittndave10 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-17-2018, 01:20 PM
  2. G0506 documentation
    By ivygirl18@hotmail.com in forum Medicare Regulations
    Replies: 4
    Last Post: 04-05-2018, 11:56 AM
  3. Billing G0506
    By ritzy57 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-20-2017, 04:35 PM
  4. Billing G0506
    By ritzy57 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-20-2017, 04:34 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.