SuperCoder Posted Wed 15th of October, 2014 10:37:56 AM
How do you specifically bill G0452 code in Florida and what are the requirements, such as any specific diagnosis, etc. Multiple interpretations billed should be billed as G0452-26 with subsequent codes listed with the -59 or -91 modifiers? Is this code being paid by the Florida medicare contractor?
SuperCoder Answered Thu 16th of October, 2014 07:09:52 AM
Thank you for your question.
For Florida (except Fort Lauderdale and Miami) payment information is as below:
G0452- 26 shows a Facility/Non Facility Price of $19.63 and Limiting charge of $21.45 according to the Medicare Fee Schedule
Modifiers 59 and 91 would not be appropriate to bill with G0452.