Medical Billing Forum
Billing => Billing => : Kerri March 24, 2022, 04:45:58 PM
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So we started billing for G0444. Priority Health Medicare is denying for bundling. I tried first without a Mod 25, and then WITH a Mod 25. both were denied. I have looked and looked online but there isn't any concrete information. A few posts suggested billing with Mod 59?
Is anyone billing for this and getting paid?
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What codes are you billing with it? Are the other codes being paid? Is this code being denied or bundled?
Sorry, need more information.
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Billed to Priority Health Medicare with 99397. The physical gets paid, the G0444 gets denied for unbundled. I have tried the 99397 with and without mod 25
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Medicare only allows one G0444 in a 12 month period. Is it possible that the patient had one in the past 12 months.