Forum - Questions & Answers

Sep 16th, 2011 - toms1422

Hospice:, but 99215 was denied

Medicare now requires face to face visit within 30 days of pt. enrolling in hospice. Doctor saw the pt. in the office, and the 99215 for this was denied because patient was enrolled in hospice . what's the proper modifier and/or code to bill to get this required visit paid for?

Sep 16th, 2011 - youngblood 278 

re: Hospice:, but 99215 was denied

Asssuming that the patient named your doctor as their "Attending", but (your doctor) is not emplyed by the hospice entity, your modifier is "GV".



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