Not sure if this was covered previously.... if so, please redirect me to the appropriate thread...

I tried billing for a urine drug test cup in the office recently on a medicare patient using the new G0477, and it was denied as "billable, but not allowable", per the CMS rep. I told my biller to try the old G0434 code and it was rejected by her software as "code no longer usable". I'm confused as to how I can bill for this; I told her to resubmit without the QW modifier to see if that would work....

Any advice out there??


E. Luis Prieto, MD, FACP
Internal Medicine
Sebastian, FL