Medical Billing Forum

Billing => Billing => : TXBiller November 16, 2019, 09:44:16 PM

: 99397 and G0402
: TXBiller November 16, 2019, 09:44:16 PM

Anyone know why Medicare paid for G0402 and not 99397?  I thought they would pay for both since G0402 is not bundled into 99397.  I put a mod 25 on 99397.

TIA

: Re: 99397 and G0402
: Michele November 17, 2019, 11:19:57 PM

Medicare uses HCPCS codes G0438 & G0439 for wellness exams.  They do not reimburse for cpt codes 99381-99397.