Forum - Questions & Answers
Jan 20th, 2011 - cindis3140
Reimbursement amount on new Medicare codes g0438/g0439
Requesting aid in pricing the new Medicare codes for billing purposes, thank you in advance!
Jan 20th, 2011 - LindaLou 81
Re: pricing on G codes
We checked our Medicare Fee schedule and just rounded up to nearest whole dollar. These are Medicare only codes, so no need to charge above. You will be paid at 100% of approved amount.
Example: G0438, Medicare allows $154.59...we bill $155.00
Jan 22nd, 2011 -
or
Initial visit- pays same at 99204, followup visits- same as 99214