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Modifier needed on G0008 and G0009

  1. #1
    Location
    CoeurD'Alene, Idaho
    Posts
    14
    Question Modifier needed on G0008 and G0009
    Medical Coding Books
    If a patient has Medicare and is given both the Pneumovac and the Flu Vac. You use G0008 for the flu vac and G0009 on the Pneumo administration. Does the G0008 or G0008 require a modifier?

  2. Smile
    i never had to put a modifier on the office call because its a covered service.

  3. #3
    Smile
    Quote Originally Posted by moremopars1 View Post
    If a patient has Medicare and is given both the Pneumovac and the Flu Vac. You use G0008 for the flu vac and G0009 on the Pneumo administration. Does the G0008 or G0008 require a modifier?
    No...Modifiers are only used on the e/m charge.....Hope this helps.....
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  4. Smile G008
    I coded the G008 and was told to us an administration modifier this is the way i coded it:
    example: 99213 v040.81 am
    99060 G008
    that's what i was advised to do by my dr we called texas health springs, so far none have been returned hope it helps.:

  5. #5
    Location
    Covington, LA
    Posts
    89
    Default
    No modifier is needed. G0008 states administration of influenza vaccination and G0009 states administration of pneumococcal vaccination

  6. #6
    Default
    If a patient gets both the flu and pneumovax we use diagnosis code V06.6 for each of them.

  7. #7
    Default Confused!!!
    So if I don't need to put a modifier on G0009 or G0008, how come when I call Medicare to fix the claim, they say I need a modifier? I'm so confused and bummed because our doctors aren't getting paid for a G0008 or G0009.

  8. #8
    Smile
    Quote Originally Posted by smoogie87 View Post
    So if I don't need to put a modifier on G0009 or G0008, how come when I call Medicare to fix the claim, they say I need a modifier? I'm so confused and bummed because our doctors aren't getting paid for a G0008 or G0009.
    You have to use a modifier on the e/m code (25) not on the G codes. Hope this clarifies your question.
    Yolanda T. Haskins CPC, CRC, OHCC, AAPC Fellow
    Past AAPCCA Board of Directors 2014 - 2017


    Alexandria, VA Chapter

    ~ Practice Kindness ~

  9. #9
    Default another question
    okay so let me give you an example so i can fully understand where you're coming from.

    Example:

    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??

  10. #10
    Default references
    do you have any resources you can give me for this modifier for the G0009 or G0008? I beleive my email is on my account. Thanks

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