G0434

How do you bill for CPT® code G0434 to get reimbursed by medicare? Do you use modifier QW? What diagnosis code can be used for this CPT® code?

re: G0434

Yes G0434QW and I use V58.69 some and V70.4 some depending on the insurance. Medicare will pay using V58.69.

re: G0434

For practices with a CLIA Certificate of Waiver performing point-of-care rapid cups, it is important to ensure that the rapid cups you are using are CLIA-waived by checking the product insert that comes with the product. Also, please note that you can assign only one billing code per patient encounter, regardless of the number of drugs tested with the screening cup.
For Medicare use code G0434 and for non-Medicare use code 80104.
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE1105.pdf

re: G0434

If the cups are sent out, can the practice bill for these?
Thank you