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Thread: Denial g0101+q0091 w/99396-25

  1. #1
    Join Date
    Apr 2007
    Melbourne, Florida

    Default Denial g0101+q0091 w/99396-25

    AAPC: Back to School
    Blue cross denied pymt :
    Denial: Included in other service per bc ..
    Cpt go101 icd 9 v72.31
    cpt q0091 icd 9 v72.31
    considered inclusive to
    cpt 99396 modifier - 25
    icd9 272.4

    is there another way to bill this ?

    Thanks for all of your feedback
    Denise Gilrane-Pillow, CPB

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    The Q and the G code are for Medicare, otherpayers may want them but if billing the preventive CPT code then the G and the Q is inclusive. There is no other way to bill, The well woman is preventive.

    Debra A. Mitchell, MSPH, CPC-H

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