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Author Topic: 99397 and 99495  (Read 746 times)

TXBiller

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99397 and 99495
« on: March 10, 2019, 01:32:15 PM »
I have billed Medicare for 99397 and 99495.  They paid on 99495 but not the other.  When I submitted the claim I did not include a modifier.   How do I get Medicare to pay on both?  I'm not sure what modifier to use.

TIA
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Michele

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Re: 99397 and 99495
« Reply #1 on: March 10, 2019, 03:33:14 PM »
You cannot use the E&M code 99397.  Medicare has a specific code for yearly exams, G0439. 
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Re: 99397 and 99495
« Reply #1 on: March 10, 2019, 03:33:14 PM »
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