Author Topic: Code 97010  (Read 1939 times)

catooch

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Code 97010
« on: December 11, 2009, 10:50:39 AM »
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

oneround

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Re: Code 97010
« Reply #1 on: December 11, 2009, 12:34:08 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?
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

Michele

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Re: Code 97010
« Reply #2 on: December 12, 2009, 07:15:26 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
« Last Edit: December 12, 2009, 07:18:11 AM by Michele »
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catooch

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Re: Code 97010
« Reply #3 on: December 15, 2009, 12:28:14 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