tci Part B Insider - 2010 Issue 28

Compliance: Reference 3 'G' Codes for Early HIV Screening

Don't miss out on rapid test pay for high-risk beneficiaries.You can now show medical necessity for a greater number of human immunodeficiency virus (HIV) screening tests -- but you'll need to learn the diagnosis and procedure coding ins and outs if you want to reap the rewards.CMS announced an HIV screening coverage expansion and created three new "G" codes to implement the coverage. Read on for your need-to-know briefing, including which diagnoses payers will recognize and how to get paid for the service for encounters retroactive to Dec. 8, 2009.Use HCPCS Level II for Expanded HIV...

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