Revenue Cycle Insider

E/M Coding:

Know When to Use an E/M Code in Place of a CPO Code

Question: We have a patient who is currently eligible for home-based care, and our oncologist is working through the details of the patient’s home care plan. Can this physician’s work be billed using a care plan oversight (CPO) code?

Wisconsin Subscriber

Answer: No, Medicare does not allow separate billing for the time a provider spends establishing a home health plan via the use of HCPCS codes such as G0181 (Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans).

Doctor with senior woman in nursing home

However, the provider may still be able to report other eligible services that reflect the work performed by using an appropriate evaluation and management (E/M) code, such as 99202-99215 (Office or other outpatient visit for the evaluation and management of a/an new/established patient, which requires a medically appropriate history and/or examination…)

Lindsey Bush, BA, MA, CPC, Production Editor, AAPC

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