tci Part B Insider - 2006 Issue 2

Don't Bill DMERC For New Wheelchair Oversight Code

If you've been receiving denials for G0372 , the new code for physician oversight of power wheelchairs, then you may have been billing the wrong carrier. The Centers for Medicare & Medicaid Services established the new code to allow physicians to bill reviewing and then submitting documentation for power wheelchair claims and getting it to the durable medical equipment regional carriers (DMERCs). The new code was effective for dates of service on or after Oct. 25, 2005.But some physicians are having their G codes rejected, suppliers reported at the Dec. 15 Home Health, Hospice and DME open door forum...

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