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Thread: Prostate exam with AWV

  1. #1

    Default Prostate exam with AWV

    AAPC: Back to School
    We have received denials for G0102 (V76.44) when filed with G0438 as bundled services. I have looked all over the Medicare website and cannot find information to support this denial. In fact, I have found articles that say these can be used together. Can anyone help me find why we would be receiving these denials?

  2. #2


    Was this an initial visit for the patient, if not, you may have to use (G0439) for subsequent visit.

  3. #3


    It was the initial AWV.

  4. #4


    Is the individual an eligible beneficiary who is no longer within the 12 month period after the effective date of his/her Medicare Part B coverage period and has not received either an IPPE or AMW providing PPPS within the last 12months?

  5. #5


    No. The G0438 was filed correctly. This is a beneficiary that has been on Medicare longer than 12 months and this was the initial AWV.

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