Eli's Rehab Report
HCPCS or CPT? Find Out What G0129 Can Do
PDF
Question: Someone recently pointed out to me HCPCS code G0129 (Occupational therapy requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization treatment program, per day). We report specific CPT codes such as 97003 (Occupational therapy evaluation) or 97537 (Community/work reintegration training ...), so when would G0129 be reportable? I noticed that this code mentions hospital treatment pro-grams, so I want to make sure we, as a hospital outpatient rehab facility, aren't missing out on a more accurate way of reporting OT. Pennsylvania Subscriber Answer: Your best bet would be to steer away from the G code and to go with something more specific. Why: The vast majority of Medicare contractors and other non-Medicare insurance payers do not recognize G0129. Code 97003 (Occupational therapy evaluation) is the appropriate CPT to bill when an occupational therapist provides an evaluation to a patient on an outpatient basis. Code G0129 would not be appropriate to bill for an outpatient occupational therapy evaluation.
Eli's Rehab Report
- Rehab Providers Face a Rocky 2008 -- if Congress Doesn't Take Action
Important: Take a long, hard look at your professional requirements There's a lot in store [...] - Coding Corner:
Say Hello to New Rehab CPTs for 2008
Take note: Medicare will not reimburse all of them After an uneventful 2007 for new [...] - Medicare:
New Physician Fee Schedule Cracks Down on CORFs
Consider these 3 major compliance checkpoints The 2008 Medicare Physician fee schedule Final Rule [...] - Practice Pointers:
Shop Smart -- Gather Crucial Info From Vendors, Customers
Look for these key features in your software test drive In the last issue of [...] - Compliance:
The Slightest Mistake Could Land You a False-Claims Label
Physiotherapy speaks up about $16.6 million settlement If you haven't conducted an internal audit in [...] - Reader Questions:
HCPCS or CPT? Find Out What G0129 Can Do
Question: Someone recently pointed out to me HCPCS code G0129 (Occupational therapy requiring the skills [...] - Reader Questions:
Tackle Your Home Health PPS Bundling Queries
Question: We are based in a home health agency and noticed the chart in the [...] - News Briefs:
Billing--Duplicate Claims Top TrailBlazer's Error List
You may be able to slow your denial volume by simply checking your claim status. [...] - News Briefs:
Inpatient Rehab--Group Therapy in IRFs Here to Stay
Inpatient rehabilitation facilities with National Government Services Inc. as their Medicare fiscal intermediary can rest [...] - News Briefs:
Billing--New NPI Deadlines Fast Approach
In the hubbub over the physician fee schedule, PPS changes and therapy cap drama, don't [...]