by Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC
Oct 5th, 2017 - Reviewed/Updated Feb 5th
Question
Do we need to charge for non-covered services performed under a maintenance visit if we use the S8990 code when billing Medicare?
Answer
Medicare prohibits the use of the S8990 code for maintenance visits. You must use the standard 98940-98942 codes, collect the appropriate ABN form for maintenance care and append the GA modifier to the 9894- service.
About Brandy Brimhall, CPC CMCO CPCO CCCPC CPMA QCC
Brandy is a Certified Professional Coder (CPC), Certified Medical Compliance Officer (CMCO), ChiroCode Certified Chiropractic Professional Coder (CCCPC), a Certified Professional Compliance Officer (CPCO)and a Certified Professional Medical Auditor (CPMA). She is also the President of CHelpDesk Solutions (www.CHelpDesk.com), chiropractic's on-demand Certified Virtual Chiropractic Assistant.
Brandy is a member of the AAPC (American Academy of Professional Coders), PMI (Practice Management Institute), and the ACA (American Chiropractic Association).