Forum - Questions & Answers

Mar 24th, 2015 - JULIA7014 8 

Can I bill G0180 in addition to 99495?

Hello,

Is it possible to bill G0180 in addition to 99495 within the 30 day period?

What about care plan oversight, can the doctor bill this in conjunction with 99495?

Thanks.

Mar 24th, 2015 - Jackfraust 69 

re: Can I bill G0180 in addition to 99495?

Code G0180 is a column 2 code for 99495, These codes cannot be billed together in any circumstances.
Code G0180 is bundled into code 99495 Code G0180 cannot be billed with 99495.
There is a parenthetical note in Care Oversight Services codes Do Not Report 99374-99380 when performed during the time of service of codes 99495-99496

Mar 24th, 2015 - JULIA7014 8 

re: Can I bill G0180 in addition to 99495?

Thank you for the clarification.

Mar 24th, 2015 - JULIA7014 8 

re: Can I bill G0180 in addition to 99495?

What about the following sequence...doctor bills out G0179 one month and G0181...the following month the patient is doing so much better and is released from nursing home. After the discharge, can the doctor then bill out 99495 or 99496?

Mar 24th, 2015 - Jackfraust 69 

re: Can I bill G0180 in addition to 99495?

I'm not sure of the scenario and what is/was coded/billed prior or for how long prior but Code G0179 is used after a Pt. has received services for at least 60 days (or one cert. period) when the physician signs the cert. after the initial cert. period. Noted under the code description in HCPCS



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