Forum - Questions & Answers
Mar 30th, 2011 - premier27
Medicare Wellness Visits
Our doctor billed G0438, 81003-QW and 93000 to Medicare. Medicare paid on the G0438 but denied 81003-QW and 93000 as non covered services because this is a routine screening procedure done in conjuction with a routine exam. Is this right? Are these codes included in the wellness exam?
Mar 31st, 2011 -
re: Medicare Wellness Visits
There is no coverage for a urinalysis as a routine. It was long ago shown to be a worthless screening test in a healthy person. Medicare covers USPSTF rated A and B services. Link to HTN or DM if the patient has either of those.