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Home Health & Hospice Week

Industry Notes:

Use This Rule To Bill The Correct New G Code

Published on Mon Jan 03, 2011

You've got a little more guidance to help you choose the right G code for your claims starting Jan. 1. In the new year, CMS is requiring eight new billing codes in addition to the existing six codes for home health agency services (see Eli's HCW, Vol. XIX, No. 44-45, p. 346). Those include new nursing codes for RN management and evaluation of the plan of care (G0162), LPN or RN observation and assessment (G0163), and LPN or RN training and education (G0164). CMS is revising G0154 to cover only direct skilled care by an RN or LPN, CMS notes in Dec. 17 Transmittal No. 824 (CR 7182). "We recognize that, in the course of a visit, a nurse or qualified therapist could likely provide more than one of the nursing or therapy services reflected in the new and revised codes," CMS says. But "HHAs must not report more than [...]
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