Author Topic: MEDICARE ANNUAL WELLNESS VISITS FOR WOMEN  (Read 1845 times)

joyce

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MEDICARE ANNUAL WELLNESS VISITS FOR WOMEN
« on: September 21, 2012, 03:20:57 PM »
Does anyone know how to code the pap smear with the G0438 for medicare's annual wellness visit?

I previously coded with Q0091, but they don't seem to like it, stating it is medically un-necessary.

Thanks, Joyce

supertaz93

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Re: MEDICARE ANNUAL WELLNESS VISITS FOR WOMEN
« Reply #1 on: September 21, 2012, 04:36:52 PM »
See the same link I provided in the other post.  It provides info for this question too. G0438 is a once in a lifetime code.  G0439 needs to be used annually otherwise.

joyce

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Re: MEDICARE ANNUAL WELLNESS VISITS FOR WOMEN
« Reply #2 on: September 21, 2012, 05:22:56 PM »
Thanks, Im needing the proper code for the pap smear to bill with the G0438.

Joyce

supertaz93

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Re: MEDICARE ANNUAL WELLNESS VISITS FOR WOMEN
« Reply #3 on: September 21, 2012, 08:13:07 PM »
Without more information, I can only assume the reason for denial.  Please be more specific as to what you are billing out and what the Medicare denial is.  G0438 and Q0091 can be billed together and no modifier is needed.  What diagnosis is being submitted with the Q0091?  Even if you have it listed as a dx but it is not pointed to the pap, it will deny.  If it isn't one of the listed diagnoses, it will deny not medically necessary.