70034

FISS Narrative
Medicare does not cover such services for your diagnosis/condition. 

Explanation and Suggestion:
Verify diagnosis codes:

  • If a claim has only one diagnosis code and it is a V (ICD-9) code or a Z (ICD-10) code, it will reject with 70034 
    • Exception: Rural Health Clinics billing an Annual Wellness Visit on a 71x TOB with HCPCS G0438 or G0439 and reporting an ICD-10 Z00.00 or Z00.01 will be processed
  • If the claim has a V code or a Z code with additional covered diagnosis codes, it will process
  • If the claim has multiple diagnosis codes but they are all V codes or all Z code, manual intervention is required

Contact Palmetto GBA JM Part A Medicare


Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

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Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

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Anonymous

 



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