We have several claim that are being denied payment for G0390, Trauma Team Response with the correct Rev Code 689 billed on the same day as CPT 99291, Critical Care. The EOB always says that the CPT/HCPCS is not valid/ correct or that services were not performed. The payer is WV Health Plan Medicaid. I have reviewed the CMS guidelines and it looks like it is being billed/coded correctly. Is anyone else having an issue getting G0390 paid?
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G0390 with 99291 Trauma Billing- Help
Does anyone use the G0390 on professional claims? It is in the HCPCs book and per what I can find online it needs to be billed with Level 1 Trauma activation, but only if critical care is performed. Our billing dept is saying the G0390 is only billed on the facility side?
Any help would be greatly appreciated!
thank you,
Jolene