RaeToll
Networker
I have received multiple claims that denied HCPCS G0108 for Diabetes Self-Management with a denial reason of "the procedure code/type of bill was inconsistent with the place of service".
HCPCS G0108 is reported on the claim under revenue code 0942 and CPT codes 83036 and 82962 are billed under revenue code 0301 on a UB04 under Type of Bill 0131.
This is under an outpatient hospital clinic and not an RHC or FQHC.
A certified diabetes educator is the specialist for the visit, but the UB04 is billed under the ordering physician.
This is for a Medicaid (California) policy and I have spent over an hour researching different payment/reimbursement/billing policies with no indication of how these claims are coded incorrectly.
I would truly appreciate any guidance as to where I could find guidelines on how we should bill this.
HCPCS G0108 is reported on the claim under revenue code 0942 and CPT codes 83036 and 82962 are billed under revenue code 0301 on a UB04 under Type of Bill 0131.
This is under an outpatient hospital clinic and not an RHC or FQHC.
A certified diabetes educator is the specialist for the visit, but the UB04 is billed under the ordering physician.
This is for a Medicaid (California) policy and I have spent over an hour researching different payment/reimbursement/billing policies with no indication of how these claims are coded incorrectly.
I would truly appreciate any guidance as to where I could find guidelines on how we should bill this.