tci Medicare Compliance & Reimbursement - 2006 Issue 35

DERMATOLOGY: Don't Give Up On Reimbursement For G0168

Getting paid for simple repairs isn't always simple.Sometimes the carriers move in mysterious ways--and providers have to be great detectives to figure out how to get paid.The problem: For example, many carriers are now bundling G0168, for Dermabond and other skin adhesives, with any evaluation & management (E/M) visits, says Patricia McKinnon, president of Practice Management Associates in East Meadow, NY. In many cases, the carriers assume that any E/M on the same day as a minor wound repair using Dermabond shouldn't be covered.Medicare should still be paying for G0168 separately on the physician side, says...

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