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code G0180

  1. Default code G0180
    Medical Coding Books
    Is there anyone that knows if we can bill this code? Is anyone currently billing with it?

    Any help or info would be great!

    Thanks!

  2. #2
    Location
    Seattle First Hill
    Posts
    127
    Default
    We are currently only billing that code to Medicare and they have been paying on it.

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    Yes as well...

    Food for thought...

    ....In several instances reviewers noted the medical record reflected a ‘recertification' rather than initial certification, which should have been billed with CPT code G0179 and not G0180. Additionally, many records reflected dates of service that were not part of the certification period-these services were denied. Often, many records did not indicate participation of the provider in the plan of care for the patient, and these services were denied....

  4. #4
    Default
    We do bill for the G0180 for all that we are managing, we bill with the dos of the certification period. We bill this to Medicare and also some other managed care carriers pay this as well. It has to be documented in the patients record also.

  5. #5
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    This was a generalized question not to do with vaccines. More for anticoagualtion visits
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  6. #6
    Default
    We have been billing this since 2005. Both the G0180 and G0179. Medicare will pay as will Medicare HMO plans. Ohio Medicaid will not pay as primary but will pick up balance after Medicare.

  7. #7
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    What place of service do you use for care plan oversight? If you use office, do you use the GV modifier?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  8. #8
    Default
    I bill this with POS office and if the patient is enrolled in hospice then the GV can be used.

  9. #9
    Location
    hickory coding chapter
    Posts
    22
    Default
    We are billing G0180 to Medicare and 99375 to all other insurances. No problem getting payment.

  10. Default
    please advise what information need to be in box 23 and 32?

    thanks

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