Ok, I am billing for a PCP and have had some problems with the above CPT's. First, I thought I was reimbursed in the past by Medicare for a tetanus injection on an open wound. I know they don't pay for the booster. Am I incorrect?? Will they pay for a tetanus injection??
Also, my physician did a "wheelchair training/assessment" on a patient. I had never coded for one before. I used 97542 x 2 units (1 unit is 15 min) Medicare denied as "proc code inconsistent with the modifier used, or a required modifier is missing". I did not use any modifier, nor can I find one that seems appropriate.
Any help would be appareciated.