Results 1 to 5 of 5

Prostate exam with AWV

  1. Default Prostate exam with AWV
    Medical Coding Books
    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. Default
    Was this an initial visit for the patient, if not, you may have to use (G0439) for subsequent visit.

  3. Default
    It was the initial AWV.

  4. Default
    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. Default
    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.

Similar Threads

  1. Prostate exam and yearly physical
    By rouie in forum Medicare Regulations
    Replies: 6
    Last Post: 03-17-2014, 09:58 AM
  2. Prostate exam
    By nc_coder in forum Medicare Regulations
    Replies: 1
    Last Post: 09-06-2012, 06:38 AM
  3. Prostate exam
    By nc_coder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-27-2012, 12:06 PM
  4. AWV with prostate exam
    By nc_coder in forum Medicare Regulations
    Replies: 3
    Last Post: 03-09-2012, 09:34 AM
  5. AWV with a prostate exam
    By nc_coder in forum Family Practice
    Replies: 2
    Last Post: 07-22-2011, 12:12 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.