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Thread: Indicator-X Statutory Exclusion

  1. #1

    Default Indicator-X Statutory Exclusion

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    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.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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