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Thread: Modifier needed on G0008 and G0009

  1. #11
    Join Date
    Apr 2007
    Alexandria, VA


    AAPC: Back to School
    Quote Originally Posted by smoogie87 View Post
    okay so let me give you an example so i can fully understand where you're coming from.


    Medicare patient comes in for a regular office visit (99213), and is administered a Pneumovax shot (G0009). I would have to put the modifier 25 on the office visit (99213). is that what i need to do??
    Yes, that is what you need to do. The modifier 25 is alway attached to the E/M code.
    Yolanda T. Haskins CPC, CRC, OHCC
    AAPCCA Board of Directors 2014 - 2017
    Region 1 - NorthEast - ME, NH, VT, MA, RI, CT, NY


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  2. #12


    Any time you give an injection, with an office visit, you must use modifer 25 on the office visit to get paid for both... not just G codes..... examples




    Hope this helps.

  3. #13


    I too was told the same thing by Medicare - G0008 must have a modifier when billed with multiple vaccines.
    G0008 = 90662
    G0009 = 90732

    The problem I have, other patient with the exact same bill are paid no problem by Medicare. Its as if they are choosing randomly which codes need a modifier.

  4. #14


    Quote Originally Posted by Francynesmith View Post
    I too was told the same thing by Medicare - G0008 must have a modifier when billed with multiple vaccines.
    G0008 = 90662
    G0009 = 90732.
    That's weird. They couldn't be asking for a -59 in addition to the -25, could they?

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