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Medicare

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catooch:
Hi,

I work for a chiropractor's office and today I called Medicare for a question on one of their denials and they told me that we have to start billing codes 97014 & 97010 with a GA modifier if we want to get paid.  From my understanding we don't get paid for those codes anyway, so why should put that modifier on? 

Also if we use G0283 instead of 97014 we do get paid?  This is all so confusing.  Please help

Michele:
We bill for about 20 chiropractors and we have never seen them paid for anything other than the manipulation codes.  We have some that we do bill out modalities with the GA modifier and the AT modifier and they are never paid.  We have also billed the 97014 out as G0283 but still no payment.  So in my opinion it really doesn't make a difference.  We do use the modifiers just for consistency.

Michele

catooch:
Thanks Michelle....................

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