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Thread: G0283

  1. #1

    Default G0283

    We are in need of getting G0283 - electrical stimulation - paid. Does it need a 97032 with it or a special modifier that we do not know of?

  2. #2
    Join Date
    Apr 2007
    Posts
    59

    Default

    When we submit cpt 97032 to medicare we use a gp modifier. Are you billing 97032 with any other procedure? Per cme part b billing scenarios for PTs and OTs.
    Also any two CPT codes for modalities requiring"constant attendance" and direct one-on-one patient contact(requiring direct one-on-one patient contact(CPT 97032-97039)

  3. #3
    Join Date
    Apr 2007
    Location
    Tulsa
    Posts
    121

    Default

    Medicare, MAPs, UHC & some other payers reimburse the G0283 when other payers prefer the CPT code 97014 instead.
    I'd call the payer that is denying G0283 & ask them if they prefer the CPT 97014 instead.
    If you don't get anywhere there, see if you can run a report in your practice management software which will show which payers reimbursed on either of those codes..that might give you a clearer idea of which code is preferred by which plans.
    Just my opinion...

  4. #4

    Default

    Our physician performs unattended services - G0283. However Florida does not have an LCD that supports any diagnosis and we cannot get this paid. Any assistance would be appreciated.

  5. #5
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,071

    Default

    What does the denial state?

    Debra A. Mitchell, MSPH, CPC-H

  6. #6

    Default

    We bill 97014 for all insurance except for Medicare/Medicare Plue Blue when we use G0283

    They are not required to be billed with another proc code.

    What is the rejection???

  7. #7
    Join Date
    Apr 2007
    Location
    Tulsa
    Posts
    121

    Default

    Our physician performs unattended services - G0283. However Florida does not have an LCD that supports any diagnosis and we cannot get this paid

    Who is the payer (insurance) & what does their denial say?

  8. #8

    Angry

    It does not make it past our clearing house

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