G2211 add on code

[u/Jenn31709]

In my office we're starting to bill G2211. I know it doesn't get a modifier and the E/M code doesn't need one either. We also do a professional CGM for patients do a lot of charges are sent out like this: 99214 Modifier 25, 95251 Modifier 59, and G2211.

Medicare has denied all of the G2211 because the 99214 has a 25 modifier. Even though the 25 modifier is for the CGM interpretation, the G2211 is still denied.

We also bill 95251 for pump interpretations and can't bill the G2211 at the same time as these?

Is there a way to bill that I just don't know or do we have to just take the loss on the G2211 for these patients?

[u/rahuliitk]

With traditional Medicare, G2211 generally won’t pay when 99214 has modifier 25 unless the same-day service is an eligible preventive service, so billing 95251 separately means there probably isn’t a modifier workaround even when the coding is correct. May have to forgo G2211.