Medical Billing Forum

Coding => Coding => Topic started by: sls on May 23, 2017, 12:16:14 PM

Title: medicare 99397 and g0439
Post by: sls on May 23, 2017, 12:16:14 PM
can these two be billed together?   recvd denial C0B14 on the G0439, I thought these could be billed together?
Title: Re: medicare 99397 and g0439
Post by: kristin on May 23, 2017, 07:19:25 PM
Confused...Medicare doesn't cover 99397, that is for commercial insurances. How did that get paid?
Title: Re: medicare 99397 and g0439
Post by: Michele on May 23, 2017, 08:00:15 PM
I agree, the 99397 is the E&M code for a physical for 65 and over.  Medicare doesn't cover this.  They do cover an annual physical under the code G0439.  These two codes aren't billed together.
Title: Re: medicare 99397 and g0439
Post by: kristin on May 23, 2017, 08:19:52 PM
Exactly what I was thinking. One or the other, based on insurance patient has, but not both at the same time. I bill for an IM doctor, and I have never seen those two codes billed together.
Title: Re: medicare 99397 and g0439
Post by: sls on May 25, 2017, 02:32:41 PM
thanks all I took this back to our coder, who stated she didn't catch that, the doctor entered the wrong code and when fixed they never voided the 99397.
Title: Re: medicare 99397 and g0439
Post by: Michele on May 26, 2017, 07:55:20 AM
That makes sense!