[ Follow Ups ] [ Post Followup ] [ Main Board ]

There are different codes for screening and for screening that becomes diagnostic.

Posted by SM on Thu, Oct 14 2021 at 09:25 AM CDT:

In Reply to: Our GI doesn't use screening CPT codes for anyone. posted by Per my paperwork to call ins. company. sm on Sun, Oct 10 2021 at 12:36 PM CDT:

Also different sets of codes for insurance payers vs Medicare.

As part of the Affordable Care Act (ACA), Medicare and third-party payers are required to cover services given an A or B rating by the U.S. Preventive Services Task Force (USPSTF) without a co-pay or deductible. That is, the patient has no patient due amount.

It's good to note that Medicare still waves the deductible if screening converts to diagnostic or therapeutic. I don't know about other insurance payers.

Follow Ups:

Post a Followup




Optional Link URL:
Link Title:
Optional Image URL:

[ Follow Ups ] [ Post Followup ] [ Main Board ]