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Medicare Compliance & Reimbursement

Compliance:

Reference 3 'G' Codes for Early HIV Screening

Published on Mon Sep 06, 2010

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 Screening To report HIV screenings for certain beneficiaries, turn to one of the following new codes: G0432: Infectious agent antibody detection by enzyme immunoassay (EIA) technique, HIV-1 and/or HIV-2, screening G0433: Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening G0435: Infectious agent antibody detection by [...]
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