AAPC - Back to school
Results 1 to 2 of 2

Thread: Code g0180

  1. #1

    Red face Code g0180

    AAPC: Back to School
    Please help. My office does alot of patient care through nurse phones calls from the nursing facilities our patient are in. The physician at times has to review the information and sometimes make changes to medications.

    What does the last sentence of (per certification period) mean for this HCCPS code.

    I feel this is the code that I could bill for these services provided by our office for Medicare.

    G0180 - Physician certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affrim the initial implementations of the plan of care that meets patient's needs, per certifcation period

    Thank you in advance with help with this matter

  2. #2

    Default RE: Certification period

    From the Medicare Claims Processing Manual
    B. Physician Certification and Recertification of Home Health Plans of Care

    Effective January 1, 2001, two new HCPCS codes for the certification (HCPCS code G0180) and recertification (HCPCS code G0179) and development of plans of care for Medicare-covered home health services were created. These two new HCPCS codes are available only to physicians who are permitted to certify that home health services are required by a patient in accordance with to §1814(a)(2)(C) and §1835(a)(2)(A) of the Act.

    The home health agency certification code (HCPCS code G0180) can be billed only when the patient has not received Medicare-covered home health services for at least 60 days. . The home health agency recertification code (HCPCS code G0179) is used after a patient received services for at least 60 days (or one certification period) when the physician signs the certification after the initial certification period. HCPCS code G0179 will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode.

    Last edited by msrd_081002; 12-23-2010 at 01:30 AM.

Similar Threads

  1. code G0180
    By cvzzz in forum Orthopaedics
    Replies: 11
    Last Post: 09-28-2015, 11:38 AM
  2. G0180??
    By vnorman in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-15-2010, 06:11 AM
  3. Code G0180 question
    By beckiekeen in forum Orthopaedics
    Replies: 1
    Last Post: 05-03-2010, 06:34 AM
  4. G0180 - What code can we bill to non-Medicare
    By Partha in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-04-2009, 06:47 AM

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.