Question: We received a denial for G9022 when we coded it with G0359, J9355, J1200, G9021, and G9029. The denial said PR-B6: The service is denied/reduced when performed/billed by this type of provider, by this type of provider and this type of facility, or by provider of this specialty. Can you explain the denial? Codes G9021 and G9022 are both for nausea, depending on the level. You need to remove one of these codes and report a code for pain from G9025-G9028 (Chemotherapy assessment for pain, patient reported, performed at the time of chemotherapy administration...).
Louisiana Subscriber
Answer: You were correct in reporting one code for fatigue, but the problem is that you reported two codes for nausea/vomiting, and didn't report a code for pain.