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Welcome to Medicare Physical

  1. #1
    Question Welcome to Medicare Physical
    Medical Coding Books
    Can someone tell me how a "Welcome to Medicare Physical" should be billed? The codes the provider used are 99397, G0344, G0366 and 81003. It looks like it's being rejected saying it's a routine physical. I'm not sure what to correct to get it paid. Any suggestions are appreciated.

    Thank you,
    Sharon

  2. #2
    Default
    Quote Originally Posted by sstone View Post
    Can someone tell me how a "Welcome to Medicare Physical" should be billed? The codes the provider used are 99397, G0344, G0366 and 81003. It looks like it's being rejected saying it's a routine physical. I'm not sure what to correct to get it paid. Any suggestions are appreciated.

    Thank you,
    Sharon
    Don't bill the 99397 that is a "routine cpt e/m code" just use the

    G0344 for the IPPE
    g0366 for the ekg

    The 81003 is not part of the welcome to medicare.

    Have a good day,
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  3. Default
    I also suggest requesting free educational material from the cms.gov website such as "The ABCs of Providing the Initial Preventive Physical Examination Quick Reference Chart." It is listed under the medicare learning network.
    Desiree Balladin CPC, CCS-P, PCA
    Billing Manager
    http://www.dmedbilling.com/

  4. #4
    Default
    Just a heads up, this is only billable in the first 6 months of the patient receiveing medicare.

    Daniel
    CPC

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