FAQ

Why is the CPT Code G0281 being denied For E-stim?

A:  When the Rehabilitation professional bills the CPT code G0281 per WPS, the CPT code has potential to be denied payment if the proper ICD-10 Code is not being used for the claim. Closely follow the guideline for allowable billing of E-stim for wounds (non-healing greater than 30 days chronic stg 3 or stg 4). Ensure the ICD-10 code is reporting the specific medical condition warranting use of G0281.