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Part B Insider (Multispecialty) Coding Alert

Electrical Stimulation:
Know the Specifics When Coding H-Wave Studies

Keep Stark laws in mind when the physician dispenses the device. The differences between 'H' Wave stimulation and 'F' Wave studies are more vast than just the letters of the alphabet. Following our reader question on this topic in the Insider's vol. 13, no. 31, we received several follow-up questions about reporting H-wave stimulation. Following are the expert answers to these queries, from Jean Acevedo, LHRM, CPC, CHC, CENTC of Acevedo Consulting, Inc. in Delray Beach, Fla: Tip 1: G0283 Isn't A Standalone Code. You'll never report G0283 (Electrical stimulation [unattended], to one or more areas for indication[s] other than wound care, as part of a therapy plan of care) for H-wave stimulation unless a plan is already in place for it, Acevedo says. "G0283 is an 'always therapy' code," she explains. "This means it can only be billed to Medicare (and payers following CMS guidelines) when it is provided [...]

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