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G0389 billed instead of 93978?

Ashley Posted Wed 19th of October, 2011 20:43:13 PM

One of my physicians wants to know if he could bill G0389 instead of 93978 (the patient has Medicare). I am unsure of this because I have read where G0389 is a part of the welcome to Medicare visit. This is not a welcome to Medicare visit. This patient was referred by another physician. The patient smokes and has a family history of AAA. This is more of a screening. Would G0389 be correct in this situation?
Thank you in advance for your help.

SuperCoder Answered Thu 20th of October, 2011 06:33:17 AM

As per G0389 layterm desc., you could bill this code in this situation, I think. But remember medicare will pay only once for this ultrasound for AAA and the patient should never have this test before. So, all medical necessity for this code should have mentioned clearly in the documentation.

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