Forum - Questions & Answers

Mar 14th, 2013 - sjsmurph 1 

How to bill 99213, G0008, 90662, 90471, and 90714 for Medicare

My question is how do I correctly code 99213, G0008, 90662(flu), 90471, and 90714(Td) for Medicare? I originally filed this to Medicare with a 59 modifier on the 90471 and they paid everything except the 90471 and 90714. The date of service was 10/9/12 so this was before the CCI edit took effect on 1/1/13 requiring 25 modifer. Ive read to add modifier 59 to any CPT® administration code (90464-9074)if they are on the same claim as a HCPCS G-code. So Im really confused at this point. Any help on this would be much appreciated!

Mar 14th, 2013 - nmaguire   2,606 

re: How to bill 99213, G0008, 90662, 90471, and 90714 for Medicare

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/qr_immun_bill.pdf

Mar 15th, 2013 -

re: How to bill 99213, G0008, 90662, 90471, and 90714 for Medicare

Also look into what your local Jurisdistiction wants to see. I know Novitas for MD and PA want the AT mod on the 90471 & 90714. But places like VA do not.



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