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Thread: PCP visiting Nursing Home but pt is in Hospice

  1. #1

    Exclamation Please help! Second time posting this question...

    AAPC: Back to School
    our doctor is a PCP and sees patients in Nursing Homes also.
    patient is staying in a nursing Home but the pt was in Hospice
    ca i bill this to Medicare?
    if yes how do I code this and what POS code should i use?

    will it be right if i use nursing home codes(99304-99310) and the POS code 34?

    I am not sure if this is right or wrong. Can anybody advise on this please...

    thank you
    Last edited by EverythingCoding; 04-08-2010 at 07:56 AM. Reason: add more details

  2. #2
    Join Date
    Apr 2007


    There is a G coe for that, but check if ur Dr. is hospice provider or not.Accordingly use the G code.

  3. #3
    Join Date
    Apr 2007
    Prescott, AZ


    Our physicians do these types of visits.....I post as appropriate nursing home charge (99304 - 99316). POS would be SNF 31, NF 32. If it is a Hospice facility, then use 34. Attach Modifier GV to CPT code to indicate your physician is not hospice physician/employed by the hospice service.

    Hope this helps!
    Tracy Wood, CPC

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