Coding > Coding

G0246

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Brenda09:
Hello,

Is there a CPT code equivalent to G0246 for payers other than medicare?

Thanks,
Brenda

Michele:
Wouldn't it just be the regular E&M codes?  99211-99215?

Brenda09:
Hi Michele,
The physician thought there might be a comperable code to Medicare G code. The denials say procedure not payable seperately, but she wanted me to research it and see if there was another code before doing a write-off.

Thanks,
Brenda

Michele:
You mean the G code billed with another code and the G code is being denied?

Brenda09:
Yes, it is denied by medicare with a primary code & 25 modifier. The physician feels this should be a service paid seperately by other payers as well as medicare. Because the G code is only for medicare, she feels there should be another code for this service with other payers in addition to the primary code.

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