tci E/M Coding Alert - 2013 Issue 6

Reader Question: Count 99173 Part of G0402

Question: I’m trying to understand what we can bill to Medicare during a patient’s preventive visit. Our physician wants to report these codes: G0402 with diagnosis V70.0 99214 with modifier 24 82947 81002 99173 94010 Additional diagnoses 788.41, 250.00, 272.4, and 401.9. Are all these codes permissible? Alabama Subscriber Answer: Some of the codes your physician listed are permitted, but others are not. Share this information with him to help explain the coding: G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare...

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