Wiki Deleted HCPCS G0154 for 2016

kdehn0564

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We have providers who are billing and being paid for G0154 for DOS in 2016. The health plan previously had used home grown codes and one of them was for Home Health. The providers were sent communication to stop billing the home grown code and to start using G0154 beginning Jan 1, 2016, but this code was deleted effective Jan 1, 2016. Would this be considered fraud? And on whose part, the provider or the payer?

Thank you for any help.
 
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