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HCPCS Code for Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

HCPCS code G0403 for Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report as maintained by CMS falls under Initial Services for Medicare Enrollment .

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Official Long Descriptor

Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

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Medicare G0402 and EKG
[QUOTE="sls314, post: 514597, member: 523015"] This is not my area of expertise, but everything I can find says that you should use G0403. I looked up the CCI conflicts. There is a CCI conflict betw... [ Read More ]
Medicare G0402 and EKG
[QUOTE="mgarcia400, post: 514591, member: 133599"] For a Welcome to Medicare visit G0402, I know and EKG 93000 is allowed. I'm having trouble getting the 93000 paid as Medicare states it's unbundled. ... [ Read More ]
Medicare G0402 and EKG
For a Welcome to Medicare visit G0402, I know and EKG 93000 is allowed. I'm having trouble getting the 93000 paid as Medicare states it's unbundled. Am I coding this incorrectly? Should I be coding G0... [ Read More ]
Place of Service with Medicare AWV
If you’re seeing a high number of denials for Medicare annual wellness visits (AWVs), you’re not alone. Identifying whether to code for an Initial Preventive Physical Exam (IPPE, or the “Welcome... [ Read More ]
Florida Workers Comp Fee Schedule
When billing for Florida Workers Comp: Those Workers comp that strictly follow the Florida Workers Comp Fee Schedule keep stating that 80305 / 80307/ G0401 - G0403 Will deny as not on the Florida Work... [ Read More ]
99213, G0439 & 99397
Traditional Medicare insurance will not cover 99397, but any Medicare Replacement plans will cover 99397 as long as documentation supports 99397. No modifiers are allowed for the AWV (G0402, G0439, o... [ Read More ]
In Office CLIA Lab billing
Hello everyone! Hoping to get some insight from you all on this. We have a new client that is a pain management doctor, strictly seeing workers comp patients, and has an in office CLIA lab. Example: H... [ Read More ]
G0403(Medicare EKG)
Yes, you will need a modifier when reporting codes G0402 & G0403 together. While there is no CCI edit in place for the code pair, Medicare Claims Processing Manual instructions state that modifier 25... [ Read More ]
G0403(Medicare EKG)
When billing the G0402 & G0403 together for the same DOS is there a modifier needed to ensure accurate processing of claim without denial?... [ Read More ]
G0403(Medicare EKG)
[b]G0403 help[/b] This is confusing to me also, Did your office do the ECG? I'm thinking the G0403 can be billed by the provider actually doing the screening?? Did you bill (attach it to Z00.00) "Ele... [ Read More ]
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