scrawford1690@gmail.com
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Hey everyone,
I have several doctors coding a 99213 for Medicare patients, since the preventative code does not pay. Patient has no complaints, only coming in for the annual... This does not seem right to me. They do breast/pelvic exam so I'm charging the G0101. In my opinion I should ONLY be charging the G0101 for payment and the 9939(x) with an ABN modifier.
Am I right? Or can the doctor charge the 99213?
I have several doctors coding a 99213 for Medicare patients, since the preventative code does not pay. Patient has no complaints, only coming in for the annual... This does not seem right to me. They do breast/pelvic exam so I'm charging the G0101. In my opinion I should ONLY be charging the G0101 for payment and the 9939(x) with an ABN modifier.
Am I right? Or can the doctor charge the 99213?