Author Topic: G0444  (Read 531 times)

Kerri

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G0444
« on: March 24, 2022, 04:45:58 PM »
So we started billing for G0444. Priority Health Medicare is denying for bundling.  I tried first without a Mod 25, and then WITH a Mod 25. both were denied. I have looked and looked online but there isn't any concrete information.  A few posts suggested billing with Mod 59? 

Is anyone billing for this and getting paid?

Michele

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Re: G0444
« Reply #1 on: April 03, 2022, 08:49:36 PM »
What codes are you billing with it?  Are the other codes being paid?  Is this code being denied or bundled?

Sorry, need more information.
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Kerri

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Re: G0444
« Reply #2 on: April 04, 2022, 11:46:51 AM »
Billed to Priority Health Medicare with 99397. The physical gets paid, the G0444 gets denied for unbundled. I have tried the 99397 with and without mod 25

Michele

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Re: G0444
« Reply #3 on: April 13, 2022, 10:27:46 AM »
Medicare only allows one G0444 in a 12 month period.  Is it possible that the patient had one in the past 12 months.
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