Category Archives for Billing & Coding Tips

Yet Another Medicare Influenza Vaccine Q Code: Q2034 Agriflu

Medicare Flu Shot Code Q2034 In 2012 Medicare came out with another code Q code for billing the influenza vaccine. The code is Q2034 for the flu vaccine under the brand name Agriflu. The effective date of the new code is for claims with the date of service on or after July 1, 2012. Annual Part B deductibles and coinsurance amounts do not apply. All providers who give the influenza vaccination must accept assignment for this vaccine claim per CMS. The Continue Reading

Filed Under: Billing & Coding Tips, How to Bill for Flu Vaccine, Medical Billing and Coding Topics, Medicare Billing Tips

Medicare Billing for a Well Woman – G0101, Q0091, G0438, G0439, 99387 & 99397

Medicare Billing for Well Woman Exam Using Codes G0101 and Q0091 and Annual Wellness Visits AWV G0438 and G0439 As we are all aware, Medicare now allows for the Annual Wellness Visit (AWV) G0438 or subsequent AWV G0439, but how does this relate to an annual Well Woman Exam?  IT DOESN’T. An annual Well Woman Exam is a completely separate evaluation and management service from an AWV, and unless the provider specifically evaluates a patient for both the AWV and Continue Reading

Filed Under: Annual Wellness Visit Tips, Billing & Coding Tips, Featured Blog Posts, Medical Billing and Coding Topics, Medicare Billing Tips

Medicare Codes for Flu Shots: Q2034, Q2035, Q2036, Q2037, Q2038

Medicare Influenza Vaccine Q Codes The Centers for Medicare & Medicaid Services (CMS) no longer recognizes and does not reimburse CPT Code 90658 Influenza Virus Vaccine, Split Virus for flu shots. CMS has established six separate influenza vaccine HCPCS codes to distinguish between the brand-names of influenza vaccines for governmental tracking purposes. Make sure to use these new codes in your medical billing. Although the new Medicare codes distinguish between vaccine brands for Medicare, the HCPCS code G0008 Administration of Influenza Virus Vaccine Continue Reading

Filed Under: Billing & Coding Tips, Medical Billing and Coding Topics, Medicare Billing Tips

Medicare Changes GA and Adds GX Modifier for Advanced Beneficiary Notices

Medicare GA and GX Modifiers Changed As of April 1, 2010, Medicare has changed the way you need to report that a Medicare patient signed an Advanced Beneficiary Notice (ABN).  Medicare has revised the GA modifier and added a new GX modifier you must consider when doing medical billing. Medicare GA Modifier Prior to April 1st, the GA modifier read “waiver of liability on file.”  The new revised description is “waiver of liability statement issued, as required by payer policy.” Use this Continue Reading

Filed Under: Billing & Coding Tips, Medical Billing and Coding Topics, Medicare Billing Tips