We have a pt who gets an electrolyte formula (B4102) via GTUBE along with the necessary admin supplies (B4036). Pt is Medicare prime has a Medicare Part D plan, and NY Medicaid as well.
We are going to bill the supplies with a GY modifier to hopefully get the right
PR denial from Medicare.
DO WE NEED TO SUBMIT A DIF???
Does the B4102 GY need to be billed to Medicare also? Both the D plan and Medicaid do not recognize that code...so the
PR denial code from Medicare wouldn't help us bill the D plan or Medcaid.
Do we just bill formula via NDC#s to the D plan?
Help!
Blyons
Non Covered Enteral Therapy
Linear Mode
