does anyone know is cpt code 99386 is a covered charge for medicare with icd 9 code V70.0 or would I need to bill with the diabeties code
-
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 Preventive visit
- Thread starter lindafay1123
- Start date
Pam Warren
True Blue
That code is not covered by Medicare with any diagnosis. Medicare does not cover the traditional well-visit, although there are G-codes for the covered Initial Preventive Physical exam and the Annual Wellness visits. For more information on those, because the documentation guidelines are quite precise, search this board--there are many, many threads on these topics. Hope this helps.
amitkumar_s
New
- Messages
- 9
- Best answers
- 0
CPE for medicare
You have to replace CPE code with appropriate G code(G0402 or G0438,G0439)depending upon type of visit as medicare does not pay 99381-99387 &99391-99397.
You have to replace CPE code with appropriate G code(G0402 or G0438,G0439)depending upon type of visit as medicare does not pay 99381-99387 &99391-99397.
Pam Warren
True Blue
I would be cautious about doing this without making sure you document the very specific guidelines for G0402, G0438 and G0439). These HCPCS codes are not your standard CPE visits, and simply replacing is not advisable.