Wiki Provider based billing - G0463 usage

[KScoderTN]

I understand using G0463 for the facility portion of E/M 992** for hospital outpatient services. Does anyone know how you would bill counseling codes i.e. 90834 for the facility charge. Would you recommend using G0463 or using 90834 on both the clinic & facility claim?

Thank you for your thoughts in advance.

 

[mmholly1231]

I believe the G0463 is only for E/M visits to replace 99201-99205 and 99211-99215. I would still report 90834 for the counseling and probably a 99211 to generate a 510 rev code so that a facility claim produces.
AAPC has a good article on this.
http://news.aapc.com/2014-opps-collapses-clinic-visit-em-levels-for-g0463/

 

[KScoderTN]

Thank you for your input.