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Re: Medicare Part B and G0283-GP

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That is the code to use for unattended electrical stimulation for the Medicare

program since April 1, 2003.

Rick Gawenda, PT

President/CEO

Gawenda Seminars

http://www.gawendaseminars.com

> Recently a colleague mentioned that G0283-GP is the correct code to use when

billing medicare part B in California for any unattended e-stim. Can anyone

point me in the right direction to clarify if Medicare pays for this code? Or is

there another code that should be used when billing unattended e-stim?

>

> Kirk Bentzen, PT, DPT, MBA

> Los Angeles, CA

>

>

>

> Dr. Kirk R. Bentzen, PT, DPT, MBA

> Manager, Therapy & Wellness Center

> Glendale Adventist Medical Center

>

> fax

> BentzeKR@...

>

>

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That is the correct code per our Trailblazer LCD.

Ruesewald

Therapy Billing

PO Box 880 , Lake Dallas , TX 75065

fax

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From: PTManager [mailto:PTManager ] On Behalf

Of Kirk Bentzen

Sent: Thursday, February 03, 2011 7:13 PM

To: PTManager

Subject: Medicare Part B and G0283-GP

Recently a colleague mentioned that G0283-GP is the correct code to use when

billing medicare part B in California for any unattended e-stim. Can anyone

point me in the right direction to clarify if Medicare pays for this code?

Or is there another code that should be used when billing unattended e-stim?

Kirk Bentzen, PT, DPT, MBA

Los Angeles, CA

Dr. Kirk R. Bentzen, PT, DPT, MBA

Manager, Therapy & Wellness Center

Glendale Adventist Medical Center

fax

BentzeKR@... <mailto:BentzeKR%40ah.org>

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Kirk:

If your MC intermediary is Palmetto, Medicare will pay for unattended estim

but according to the LCD, will only pay for the first month of treatment. I

haven't read the document lately, but I don't think this has changed.

You can access the LCD on the Palmetto website. Click " accept " at the

prompt, then Jurisdiction 1, Part B directly below the main banner, then

click " Medical Policies " on the left menu and then LCDs and NCDs on the

left menu. Click the drop down menu on the right to show 100 LCDs per page.

Then use your internet browser search to " find on page " " Physical Therapy. "

There will be a discussion under G0283 for the use of the code. This code

is not the one you would use for wound care, which is another " G " code.

The LCD number is L28290

Viel, Billing Manager

Mt. Eden Physical Therapy Center

19845 Lake Chabot Road, Suite 205

Castro Valley, CA 94546

FAX

From: PTManager [mailto:PTManager ] On Behalf

Of Kirk Bentzen

Sent: Thursday, February 03, 2011 5:13 PM

To: PTManager

Subject: Medicare Part B and G0283-GP

Recently a colleague mentioned that G0283-GP is the correct code to use when

billing medicare part B in California for any unattended e-stim. Can anyone

point me in the right direction to clarify if Medicare pays for this code?

Or is there another code that should be used when billing unattended e-stim?

Kirk Bentzen, PT, DPT, MBA

Los Angeles, CA

Dr. Kirk R. Bentzen, PT, DPT, MBA

Manager, Therapy & Wellness Center

Glendale Adventist Medical Center

fax

BentzeKR@... <mailto:BentzeKR%40ah.org>

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