Author Topic: medicare 99397 and g0439  (Read 441 times)

sls

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medicare 99397 and g0439
« 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?

kristin

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Re: medicare 99397 and g0439
« Reply #1 on: May 23, 2017, 07:19:25 PM »
Confused...Medicare doesn't cover 99397, that is for commercial insurances. How did that get paid?

Michele

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Re: medicare 99397 and g0439
« Reply #2 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.
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kristin

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Re: medicare 99397 and g0439
« Reply #3 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.

sls

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Re: medicare 99397 and g0439
« Reply #4 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.

Michele

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Re: medicare 99397 and g0439
« Reply #5 on: May 26, 2017, 07:55:20 AM »
That makes sense!
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