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tci Part B Insider - 2013 Issue 2
Reader Question: Determine What You Can Report With IPPE
Question: I’m trying to understand what we can bill to Medicare during a patient’s preventive visit. Our physician wants to report these codes:
G0402 with diagnosis V70.0
99214 with modifier 24
82947
81002
99173
94010
Additional diagnoses 788.41, 250.00, 272.4, and 401.9.
Are all these codes permissible?
Answer: Some of the codes your physician listed are permitted, but others are not. Share this information with him to help explain the coding:
G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment) with...
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