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Indicator-X Statutory Exclusion

  1. Default Indicator-X Statutory Exclusion
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    The code Q4030 has an indicator X on Medicare fee schedule, which indicates in a shorter version no payment may be made under the physician fee schedule.

    Can anyone suggest my next step or where I should go to see payment from Medicare?
    Thank you.

  2. #2
    Sioux Falls South Dakota
    Medical Billing
    You won't be able to get reimbursement from Medicare; they state that the supplies are bundled into the cast application/fracture care codes. You also can't bill the patient for this unless you had them sign an ABN prior to the treatment/charge took place.

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