mevans303
Contributor
Hello, I am reviewing a chart where they coded 99285 and G0463 on the same claim which denied. I have two questions: 1.) if these were documented appropriately and coded together, wouldn't we need to have a 27 modifier on the G-code for Medicare claims? 2.) I really don't think the G0463 should be coded based on the chart documenation which says the patient was awaiting transfer approval from the ER to an inpatient behavioral health facility ( not affiliated ). G0463 was apparently chosen because the patient did a zoom call with the intake coordinator at the behavioral health facility. It was not with one of our providers. Can I get an opinion on that?