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New reimbursable G codes for medicare
Hi everyone
I billed the new G codes "G0444,G0442,G0445,G0446,G0447 for medicare, got paid for G0444 and denial for the rest of the codes as CO-185 (The rendering provider is not eligible to perform the service billed, M27 N95(This provider type\provider speciality may not bill this service. My provider specialities are "internal medicine and cardiology", i went through some cross referrences and found that the following provider speciality types may submit these G codes
01-GENERAL PRACTICE
08-FAMILY PRACTICE
11-INTERNAL MEDICINE
16-OSTETRICS/GYNECOLOGY---------
etc
my provider speciality is internal medicine and cardiology so he should get paid for these codes then why is medicare denying for payment.
AM i missing something, please explain me where i am going wrong
re: New reimbursable G codes for medicare
Medicare processes claims based on only one specialty code. You determine that when you enroll the physician in Medicare. Which is listed first? Cardiology or IM?
re: New reimbursable G codes for medicare
Cardiology is listed first and IM second
re: New reimbursable G codes for medicare
So, that's the reason it's not paid. CMS only uses the first physician specialty code to process claims, not the second.
re: New reimbursable G codes for medicare
Yah
Got it
Thanks