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Has anybody had success billing the G0442 Alcohol screening to Medicare?
Palmetto is rejecting the charge as "non-covered services because this is a routine exam or screening procedure done in conjunction with a routine exam." I spoke with a Medicare rep that told me the denial is because of the V-code dx we are submitting with it. I can not find an LCD that provides acceptable dx and the CMS documentation states the there is no dx requirement for payment of the charge.
Palmetto is rejecting the charge as "non-covered services because this is a routine exam or screening procedure done in conjunction with a routine exam." I spoke with a Medicare rep that told me the denial is because of the V-code dx we are submitting with it. I can not find an LCD that provides acceptable dx and the CMS documentation states the there is no dx requirement for payment of the charge.