Coding for Hospice patient when provider is not the Hospice provider

dbjjgibs

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Atchison, KS
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We had a patient come in to our office that is a Hospice patient in another location.
He was seen for several problems unrelated to his hospice diagnosis. The provider also mentioned his
terminal diagnosis in the progress note.
Can I bill this with a condition code 07? For treatment of non-terminal condition of a hospice patient?
(We are an FQHC so the claims go to Medicare A.)

Thanks.
 

arrana

Guru
Local Chapter Officer
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105
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Yes, modifier GW and condition code 07 if NOT related to terminal dx.
 
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