When is it appropriate to bill G0180 and G0181?

mayra.zambrano

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Our wound care provider sees patient who have Medicare, she usually refers these patient's to home health and follow up with them to update the plan of care. We have been noticing that all claims that contain an E/M are being re-couped "because the patient is in a home health episode" After researching for a couple of months, I discovered that we should be able to obtain reimbursement for the plan of care oversight if we were to bill G0180 or G0181. I know that G0180 is to bill for the "certification of plan of care" where as G0181 is mostly for supervision of the plan of care. What throws me off is the fact that all codes in that category say "without the patient being present" whereas other information state that we can bill these codes along with an E/M code. Bottom line is that I'm confused on when it's appropriate to use G0180 or G0181.
PLEASE HELP!
 
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