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Recent Coding Changes for Highmark Medicare Advantage

 “…for Medicare Advantage products, procedure code 97014 has been replaced by procedure code G0283.     This applies to Medicare Advantage products only and does not apply to Commercial products.”

PCA’s Insurance Committee is NOT stating that Electric Stimulation or any other modality would be covered by a Medicare Advantage Plan. However, if there would be coverage (if verified by your staff when verifying benefits with the insurance carrier), it would be necessary, at least for Highmark Medicare Advantage Plans, that you bill G0283 rather than 97014 for Electric Stimulation