Q/A: Do we Need to Charge for Non-covered Services Performed Under a Maintenance Visit if we Use the S8990 Code When Billing Medicare?

Date:October 5, 2017Posted By:ccadminCategory:Article

Question

Do we need to charge for non-covered services performed under a maintenance visit if we use the S8990 code when billing Medicare?

Answer

Medicare prohibits the use of the S8990 code for maintenance visits.  You must use the standard 98940-98942  codes, collect the appropriate ABN form for maintenance care and append the GA modifier to the 9894- service.