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G0372

Lina Posted Tue 21st of October, 2014 11:03:32 AM

Can both G0439 and G0372 be billed on the same day?

SuperCoder Answered Tue 21st of October, 2014 11:12:11 AM

G0439 Annual wellness visit; includes a personalized prevention plan of service (PPS), subsequent visit is covered by Medicare policies. Coverage for this service is once in a year, not with 12 months of initial visit. The service includes updating patient's medical and family history, current healthcare providers and suppliers involved physical examinations of height, weight, BP etc. Updating written screening schedules, risk factors and diseases that identified in the initial visit. Updating health advice and other programs including smoking cessation, physical activity and nutrition, to reduce identified risk factors. Detailed medical documentation should be there including patient's medication, treatment history, chronic diseases, urgent health needs and injuries. Policy coverage is provided to the beneficiary for the service once in a year according to the referral of initial preventive physical examination. This code is used for the subsequent visits. G0372 Power mobility devices like electric scooter or wheel chair are helpful to compensate patient's limitation in mobility within the home environment. The documentation for power mobility device requires a face to face mobility examination of the patient by a certified medical professional. The medical record should contain progress notes, home health record and face to face examination notes. The prescription for power mobility device along with medical record should be submitted to the supplier within 45 days of face to face examination. There is no indication that Medicare would deny one of the codes when billed on the same day. There are no specific edits relating to the two codes when billed together. Hope this helps.

Lina Posted Wed 22nd of October, 2014 10:34:24 AM

Thank you

SuperCoder Answered Wed 22nd of October, 2014 11:05:35 AM

You are welcome.

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