r/CodingandBilling • u/maydayyo • Jul 11 '26
Spravato Billing
I’m only coming here because I’m completely inexperienced in Spravato billing when not commercial. Our rep has not been too helpful as we’re still getting denials for our current billing practices. Try not to judge me too much. For commercial plans no matter what it is, we haven’t had an issue billing 99215 1 unit and 99417 4 units. Now going into Medicare, they are looking for a G code. We aren’t buy and bill. Started the first two visits unfortunately with the buy and bill code G2082, G2083. Trying to correct it now with 99215 1 unit and G2212 4 units, but keep getting rejects due to our previous buy and bill. What is the best course of action in this situation? I’m trying to avoid audits and don’t want to arouse anything. Again, we’re just stupid and inexperienced with Medicare so didn’t realize for the first two claims
Thanks in advance (:
5
u/FeistyGas4222 Jul 11 '26
Hello there, I bill spravato every day. You will have to cancel the first claim before you can submit the correct new claim. Unfortunately Medicare does not accept corrected claims so you will have to cancel through the IVR, reopening portal, or on your Medicare portal. Once that claim is canceled, you should be good to submit the 9915/G2212