Results 1 to 3 of 3

PCP visiting Nursing Home but pt is in Hospice

  1. Exclamation Please help! Second time posting this question...
    Medical Coding Books
    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
    There is a G coe for that, but check if ur Dr. is hospice provider or not.Accordingly use the G code.

  3. #3
    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

Similar Threads

  1. Hospice vs Skilled nursing faculity
    By ywalker in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 08-31-2015, 03:09 PM
  2. Nursing Home/Hospice Question
    By debkidcks in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-28-2013, 02:08 PM
  3. Home health and hospice billing
    By msboyce in forum Billing/Reimbursement
    Replies: 2
    Last Post: 04-18-2012, 07:30 AM
  4. Hospice and Home care oversight
    By Revenuecycle in forum Medicare Regulations
    Replies: 2
    Last Post: 09-22-2011, 12:27 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.