asmrekar
New
I have a physician, family practice that wants to bill G0438 AND 99396, shouldn't it be just G0438 for the Medicare patient? Please advise. Thanks!
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Wiki Annual PE and new Medicare patient
- Thread starter asmrekar
- Start date
Peter Davidyock
Expert
99396 is not covered by Medicare
Leemgrant11
Contributor
PE Coding
If it is medicare or medicare advantage plans you should bill G code. If it is a commercial insurance then the other codes will be payable.
Hope this helps
If it is medicare or medicare advantage plans you should bill G code. If it is a commercial insurance then the other codes will be payable.
Hope this helps
What did the provider actually do? Did he/she perform the AWV and a physical? They are two completely different services.
99396 is a non covered service for Medicare pts as the others have mentioned.