tci Part B Insider - 2012 Issue 20

Part B Coding Coach: 96000-96004 Survival Guide: 3 Simple Rules for Claims Success

Hint: Don't bill the gait analysis code if the physician only performed one component of the procedure.For physicians, a gait analysis claim is not always a walk in the park. For a successful claim, you've got to know the codes, know your carrier's rules, and know exactly which services your physician provided. Study this gait analysis billing scenario to prevent your office from taking a fall when reporting these diagnostic services. Question: We billed a motion analysis with dynamic plantar measurements (96001) and the doctor's interpretation and report of the results (96004) to Blue Cross Blue Shield. The...

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