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| 3/22/2024 @ 2:59:00 PM
Post 1 of 5
Contributor: Shannon Sullivan, St Lawrence Health System RHCs
Hello. Can someone help me understand if these codes are being billed correctly. G0439 as qualifying line with CG modifier. G0444- going out as a penny charge. 90715- going out as a penny charge. 3/22/2024 @ 3:17:00 PM
Post 2 of 5
Contributor: Charles James, North American Healthcare Management Services
No - I don't think you are billing these correctly. Depression screenings do not get bundled (i.e. $.01 charge for the G0444). You would not bundle a 90715 with either of those either.
I would definitely look to see who setup your bundling processes. 3/22/2024 @ 3:26:00 PM
Post 3 of 5
Contributor: Shannon Sullivan, St Lawrence Health System RHCs
Thank you for responding. Are you saying that each line would go out with its own charge and would pay on their own line? The G0439 and G0444 would pay the AIR rate meaning we would get two AIR payments? The G0439 and the G0444 are going out with a Rev Code 521. Our 90715 is going out with a 636 Rev code. All the charges are rolling up to the G0439 line which is going out with a CG. 3/26/2024 @ 4:11:00 PM
Post 4 of 5
Contributor: Kryssiah Felton, VCHS Medical Clinic - Ord
Can we get an update on how this would be properly billed out? I have never seen Medicare pay seperately on a G0444 and they will not accept a claim with a 90715.
3/27/2024 @ 9:02:00 AM
Post 5 of 5
Contributor: Dusty Coulter, Gothenburg Clinic
Good Morning, This is how our facility handles billing these charges assuming that 90715 is for immunization purposes and not for a wound. If 90715 is for a wound, you would want to refer to the WPS LCD as this would be an allowable charge in that case. G0439 CG $amount G0444 $00.01 90715 GY $amount also report this $ amount in the non covered column 90471 GY $amount also report this $ amount in the non covered column. Feel free to reach out to me with any questions. dcoulter@gothenburghealth.org |
