rouie
Guest
When I code G0438(preventative) V70.0, with G0102 (prostate exam) V76.44, I am getting a rejection saying G0102 is inclusive. Does everyone get this rejection or am I coding something incorrectly? Please Help!
Also there was a Med Learn Matters on this which stated to bill the G0438/G0439 with the G0102 for the AWV and yearly prostate and both are covered and paid. However it is true if you have any other visit level on the claim then both will not pay, in addition, if your timing is off then they will not pay for both. It is possible that the prostate exam was billed less than a year ago which would make it not covered.
When the G0102 is denied as bundled with the separate E/M , can I bill the patient? Our office has the patient sign an ABN prior to having the prostate exam.