Blog

Four New G Codes in Home Health

• Jennifer Warfield

Intermediaries (NGS, CGS & PGBA) are reporting that despite the invalidation of and the issuance of new G codes effective 1/1/17, some home health agencies have continued to submit claims with the old G codes listed.

The codes listed below are no longer valid in home health.

HCPCS Code

Invalid for Dates of Service

Description

G0154

Services provided on or after January 1, 2016

Direct skilled services of a licensed nurse (LPN or RN) in the home health or hospice setting, each 15 minutes.

G0163

Services provided on or after January 1, 2017

Skilled services of a licensed nurse (LPN or RN) for the observation and assessment of the patient's condition, each 15 minutes.

G0164

Services provided on or after January 1, 2017

Skilled services of a licensed nurse (LPN or RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.

The retired codes have been replaced with these four new codes.

HCPCS Code

Valid for Dates of Service

Description

G0493

Services provided on or after January 1, 2017

Skilled services of a registered nurse (RN) for the observation and assessment of the patient's condition, each 15 minutes.

G0494

Services provided on or after January 1, 2017

Skilled services of a licensed practical nurse (LPN) for the observation and assessment of a patient's condition, each 15 minutes.

G0495

Services provided on or after January 1, 2017

Skilled services of a registered nurse (RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.

G0496

Services provided on or after January 1, 2017

Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.

-----------------------------------------------------------------------------------------------------------------------

Interested in reading more of our guest articles like this one? Subscribe to the free monthly PPS Plus Newswire newsletter. Click here.

Jennifer Warfield, BSN, HCS-D, COS-C

Director of Education

Jennifer joined PPS Plus with over 30 years of clinical and management experience. Serving as a home care coding and OASIS specialist, expert speaker and published author, Jennifer is an informational ally for hundreds of home health agencies across the country. Contrary to belief, Jennifer does not spend all of her waking hours coding. She loves to read and has over 500 books in her library -- and yes, she's read them all!