KristieStokesCPC
Expert
Has anyone had any luck with Medicare paying for 29877 w/29881? I've also used G0289..they are denying both codes as incidental... please help!
Thanks
Thanks
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Chondroplasty
- Thread starter KristieStokesCPC
- Start date
mitchellde
True Blue
29877 is and has been bundled with the 29881 and is not modifiable. The G0289 is appropriate but it needs the right dx code to be linked to it or it will not pay. This all changes in 2012
KristieStokesCPC
Expert
I get a CO-97 and a N390 with the G0289:
CO97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
N390 This service/report cannot be billed separately.
with the 29877 I get:
CO-B15 CO- Contractual obligations. The patient may not be billed for this amount
B15 This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
and
M80 Not covered when performed during the same session/date as a previously processed service for the patient.
CO97 The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
N390 This service/report cannot be billed separately.
with the 29877 I get:
CO-B15 CO- Contractual obligations. The patient may not be billed for this amount
B15 This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
and
M80 Not covered when performed during the same session/date as a previously processed service for the patient.
mitchellde
True Blue
the 29877 is a CCI edit and cannot be billed with the 29881 with any modifier. As I stated the G0289 is dependent on the dx code and how you linked them.. what dx code(s) did you link to the 29881 and which were linked to the G0289.
KristieStokesCPC
Expert
836.0 on the 29881
717.7 on the G0289/29877
717.7 on the G0289/29877
mitchellde
True Blue
Then it looks a good appeal should be on its way for the use of G0289!
KristieStokesCPC
Expert
Sounds good to me...thank you Debra 