G0163 – Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)

Long description

Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)

Short description

Hhc lpn/rn obs/asses ea 15

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Y2 Other - Non-Medicare fee schedule

Added

January 1, 2011

Last change

January 1, 2017 – No change

Termination date

December 31, 2016

Nearby G codes

• G0155 – Services of clinical social worker in home health or hospice settings, each 15 minutes
• G0156 – Services of home health/hospice aide in home health or hospice settings, each 15 minutes
• G0157 – Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes
• G0158 – Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes
• G0159 – Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
• G0160 – Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
• G0161 – Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes
• G0162 – Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
• G0164 – 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
• G0166 – External counterpulsation, per treatment session
• G0168 – Wound closure utilizing tissue adhesive(s) only
• G0173 – Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session
• G0175 – Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
• G0176 – Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)
• G0177 – Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
• G0179 – Physician or allowed practitioner re-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 and allowed practitioners to affirm the initial implementation of the plan of care