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ICD-9 code to use with welcome to medicare visits

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Sally Karr:
Michele, From what I can tell, for a female patient,and when my practitioner performs each service, I would use a G0402 (Welcome to medicare prevention exam),G0403 ( welcome to medicare ekg), and and G0101 for welcome to medicare pelvic,breast exam.  In addition there is a welcome to medicare prostate exam for men.   My interpretation of the medicare guidelines is that each of these is a separately identifiable procedure/exam and can be billed as such.   and...if the person represents himself/herself with problems that require additional management/care at the time of visit I can bill for an E&M visit.  I am very new to this.  It is an extremely small rural office with many aging patients.  We have many problems with reimbursement/payment and I only want to get her reimbursement for her extremely hard work for, and dedication to, this community. 

I sincerely appreciate your responses to my questions. 

Michele:
It sounds like no modifier would be needed.  Each of those G codes is for a different service that would be unrelated to the other.  Are you getting denials when you bill them together?  If you are not having a problem with them being bundled then I would bill then without a modifier.  Except for the E&M code if done on the same visit - as earlier I would definitely use the 25 modifier on that as it is separate and unrelated to the preventative services.

Michele

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