I am trying to determine if two G codes can be billed on the same day for home health services. The patient was billed G0151 and G0154 (skilled nursing and physical therapy). The language of the CMS documentation is a little confusing. Below are the passages I'm trying to interpret to determine if both codes can be billed at the same visit. Can anyone with home health experience help me?
Regarding All Skilled Nursing and Skilled Therapy Visits
In the course of a single visit, a nurse or qualified therapist may provide more than one of the nursing or therapy services reflected in the codes above. HHAs must not report more than one G-code for each visit regardless of the variety of services provided during the visit. In cases where more than one nursing or therapy service is provided in a visit, the HHA must report the G-code which reflects the service for which the clinician spent most of his/her time.
http://www.cms.gov/Outreach-and-Edu...k-MLN/MLNMattersArticles/downloads/MM7338.pdf
You should ensure that your billing staff are aware of these new coding requirements on HHA therapy claims. It is important to note that only one G- code should be used per visit.
Source: http://www.cms.gov/Outreach-and-Edu...k-MLN/MLNMattersArticles/downloads/MM7182.pdf
Regarding All Skilled Nursing and Skilled Therapy Visits
In the course of a single visit, a nurse or qualified therapist may provide more than one of the nursing or therapy services reflected in the codes above. HHAs must not report more than one G-code for each visit regardless of the variety of services provided during the visit. In cases where more than one nursing or therapy service is provided in a visit, the HHA must report the G-code which reflects the service for which the clinician spent most of his/her time.
http://www.cms.gov/Outreach-and-Edu...k-MLN/MLNMattersArticles/downloads/MM7338.pdf
You should ensure that your billing staff are aware of these new coding requirements on HHA therapy claims. It is important to note that only one G- code should be used per visit.
Source: http://www.cms.gov/Outreach-and-Edu...k-MLN/MLNMattersArticles/downloads/MM7182.pdf