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G0246

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Michele:
Was the 25 modifier on the G code or on the E&M code? 

I'm actually a little confused after I went back and reviewed the original post.  Your initial question was for a cpt equivalent to the G code but it appears you are trying to deal with a denial not replace the code.  I thought you were looking for a code to use in billing other insurances (other than Medicare).

Brenda09:
Sorry about the confusion. The 25 modifier is on the E/M code. But you are correct, what I was looking for was a code in additon to the E/M that included foot check for diabetics for payers other than medicare. I am not sure one exists, but the physician wanted me to research it.
Why there was confusion, the physician used the G code to bill other payers. I just started billling for this physician and found this while doing A/R.
Thanks for hanging in there with me.
Brenda

Michele:
Oh, that makes more sense.  I'm not aware of any code other than the Medicare G code.  Sometimes the commercial payors follow Medicare's lead and begin using the G code or else the AMA introduces a CPT code. 

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