tci Part B Insider - 2004 Issue 42

New Technology: Medicare Carriers Refuse To Catch The Shock Wave

But you can improve your chances of payment with savvy documentationSometimes it seems the "G" in "G" codes stands for "good luck getting paid" - especially when it comes to new technology. The Centers for Medicare & Medicaid Services introduced two new "G" codes for extracorporeal shock wave therapy (ESWT) for musculoskeletal problems such as elbow epicondylitis. But many of the carriers won't cover ESWT for such problems, claiming the procedure is experimental.  The new codes are: G0279 (ESWT; involving elbow epicondylitis) and G0280 (ESWT; involving other than elbow epicondylitis or plantar fasciitis). (Two Category III codes...

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