Medical Billing Forum

Coding => Coding => : catooch December 11, 2009, 01:50:39 PM

: Code 97010
: catooch December 11, 2009, 01:50:39 PM

Hi

I just called UHC today about a coding issue and they told me I miscoded a procedure.  97010 should now be billed in a G format.  I wasn't aware of that code changing to a G code.  Is this true.  The rep said if I find the G code for that procedure it is billable.

Thank You for your help and have a great holiday.

Cathy

: Re: Code 97010
: oneround December 11, 2009, 03:34:08 PM

Cathy,

I've checked the CMS site and I did not see any indication that a G code was to replace the 97010.  The 2010 CPT still recognizes that code.  I may be missing something, could they be possibly be referring to the GP mod. if this is PT?

: Re: Code 97010
: Michele December 12, 2009, 10:15:26 AM

G0283 replaces the 97014 code, but I don't show there is a G code for the 97010.  However, UHC doesn't allow the 97010.  They bundle it in with the manipulation.

Michele

: Re: Code 97010
: catooch December 15, 2009, 03:28:14 PM

I know that's what I thought.  I guess the rep did not know what he was saying, because I verified with him and he said yes there is a G code but he's not allowed to tell me.

Thanks anyway.  Happy Holidays!

Cathy