Wiki G0438 with 77080

[Kathy615]

We did a Medicare wellness visit G0438 the same day as a Dexa Scan 77080.
I added modifier 25 to the G0438 and it was denied. Is a modifier necessary with this combo G0438, 77080? If so, which one? (Nothing in the NCCI)Thanks

 

[csamps/CPC]

G0438 can not be billed with a 25 modifier. I am in New York state and if an AMW is billed with a 25 modifier it will deny every time.

 

[elysia.york]

I was told to never use a mod25 on any Medicare G-code. Obviously, because of denial reasons!

 

[Kathy615]

Thank you.