Medical Billing Forum
Coding => Coding => : mooreq March 25, 2009, 12:49:49 PM
-
I see that Medicare has replaced 97014 with G0283. Would I continue to use the 97014 with other insurance carriers? I know Medicare leads the way with changes but what happens when codes change; do other payers follow suit? ??? Where would I go on insurance websites to find this information? So much to learn...
JM
-
Actually Medicare has been using the G0283 code for several years. The only other carrier we have seen follow suit is UHC. I would continue using the 97014 with all others unless you are notified or are seeing the code denied.
Michele
-
Just starting out so thanks for the reply. I actually got that information from your book. So thanks again. Just didn't know if it applied across the board.
-
I WAS UNDER THE IMPRESSION THAT MEDICARE ONLY PAYS FOR THE SPINAL MANIPULATION 98940,98941 AND VERY RARELY 98943 ARE WE AS CHIOPRACTORS ALLOWED TO BILL FOR ELECTRIC STIM ALONG WITH THE ADJUSTMENT? I'M IN THE BUFFALO NY AREA\ IF SO THEN HOW WOULD WE BILL IT OUT?? DO WE NEED A MODIFER?
-
Medicare doesn't pay the electric stim but you can bill it out. You would use code G0283 and I would put the AT modifier. If the patient has a secondary that pays for it then it would be covered by them.
Michele
-
I bill ours with a GY modifier which indicates it is statutorily excluded by Medicare. Here's a good website for codes excluded by Medicare and how to bill them:
http://www.muhealth.org/UPReimbursement/Advanced%20Beneficiary%20Notice.pdf
Hope that helps.