Medical Billing Forum

Billing => Billing => : TXBiller March 10, 2019, 01:32:15 PM

: 99397 and 99495
: TXBiller March 10, 2019, 01:32:15 PM

I have billed Medicare for 99397 and 99495.  They paid on 99495 but not the other.  When I submitted the claim I did not include a modifier.   How do I get Medicare to pay on both?  I'm not sure what modifier to use.

TIA

: Re: 99397 and 99495
: Michele March 10, 2019, 03:33:14 PM

You cannot use the E&M code 99397.  Medicare has a specific code for yearly exams, G0439.