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drimdds
#1 Posted : Tuesday, March 20, 2018 4:01:04 PM(UTC)
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drimdds

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Joined: 5/17/2017(UTC)
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Can we bill medicare for the consult/eval management codes(99213), CT Scan(70486),office visits or any other codes pertaining to either E0486 or A9720. If medicare won't pay for A9720 will they pay for any of the other codes if we bill out A9720?
courtneydsnow
#2 Posted : Tuesday, March 20, 2018 4:55:26 PM(UTC)
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courtneydsnow

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Hi drlmdds!

Great question. We do not recommend billing Medicare Part B for office visits and xray pertaining to E0486, as there is language in Medicare policy that states any imaging and radiographs needed in order to fabricate the appliance is considered included in E0486.

We do work with some practices who have chosen to enroll as a Medicare Part B provider for their Part B jurisdiction and bill out those initial office visits and x-rays, we just do not recommend it :)

Hope this helps!
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