Results 1 to 8 of 8

Thread: G0250

  1. #1
    Join Date
    Apr 2007
    Location
    Bentonville, Arkansas
    Posts
    55

    Default G0250

    Can anyone help me with billing G0250? I can find the aloowable dx codes, and everyone I ask says they never get paid, but I cannot find any guidance on exactly how it should be billed. I know the tests have to be done one week apart and you can only bill every 29 days, but how do you indicate the days the tests were done on? Has anyone had any success with billing this code to Medicare?

  2. #2
    Join Date
    Apr 2007
    Location
    UT Dallas, TX Chapter
    Posts
    124

    Default G0250

    AAPC addresses this code in one of their past news feeds. Here is the link.

    http://news.aapc.com/index.php/2011/...revent-delays/

  3. #3

    Default Answer?

    that link still does not address the questions asked and i am interested as well in the answers. 4 units, not more than testing once per week- but do we bill g0250 with 4 units once a month or g0250 one unit on each day a test was reported to us?



    Quote Originally Posted by airart View Post
    AAPC addresses this code in one of their past news feeds. Here is the link.

    http://news.aapc.com/index.php/2011/...revent-delays/

  4. #4
    Join Date
    Apr 2007
    Posts
    22

    Default

    What POS is everyone using???

    We've billed a 12 and was denied and we've billed an 11 and still denied?

    Does anyone have any suggestions?

    thank you!

  5. #5
    Join Date
    Apr 2007
    Location
    WEST PALM BEACH
    Posts
    10

    Default

    We've been somewhat succesful billing the G0250 to Medicare. We bill with an office POS (11) we put the testing dates in block 19 to show the 4 tests we're billing and that they're not more than once per week.

    FCSO changed the wording to say "would not expect HCPCS code G0250 to be billed more than once in a 30 day period." Which if you follow the 4 tests not more than once per week it can be 29 days not 30. I have to send in for review when that happens.

    We have trouble with the commercial carriers. Some pay the G0250 and some don't. Still trying to resolve that problem.

  6. #6

    Default G0250

    Why is the place of service the office when the patient is physically located at home?

  7. #7
    Join Date
    Apr 2007
    Location
    San Antonio
    Posts
    33

    Default G0250

    Has anyone figured out what POS Medicare is looking for? My denial is for POS. I have the correct dx code as per their guidelines. Do I need to use POS 12????
    Rey Gross, CPC, CMRS

  8. #8

    Default

    2017 ICD-10-CM Coding Book
    I would think the POS is 11 because the physician is performing his/her service in the office not at the patient's home.

    And I'm not clear on the number of units, the guidelines say that billing units of service include four tests, so would only one unit be billed?

Similar Threads

  1. G0179 and G0250
    By barbboise in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-15-2013, 03:41 PM
  2. G0250
    By emgarcia in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-07-2012, 07:47 PM
  3. G0250
    By WonderCoder in forum Internal Medicine
    Replies: 1
    Last Post: 07-12-2011, 02:23 PM
  4. G0250
    By dmaec in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-20-2008, 04:56 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?

Login

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.