1. Dannell Anchcuetz
   Posted 8 months ago #
   

   I have a patient that we did PT for and he is medicaid through another healthcare policy. We recieved authorization but when I submitted my claims the denial was "Code is not Medicaid Allowable" What codes do I bill? I billed 97112 x 3 units & 97140 x 1 unit.
   Thanks.

2. SuperCoder
   Posted 8 months ago #
   

   Medicaid pay lastly when patient doen't have any another insurance. if patient have some other insurance, bill to that insurance. if patient only have medicaid, then re-appeal with letter of authorization.

3. Dannell Anchcuetz
   Posted 8 months ago #
   

   OK I spoke to someone at ins. co and they stated that the codes I billed are not approved my medicaid. Are there any special CPT codes I can bill for Medicaid??

4. SuperCoder
   Posted 8 months ago #
   

   Try billing using the following modifiers in three line items.
   97112-GP
   97112-GP,59
   97112-GP,59
   Hope this helps.

RSS feed for this Question