G0180 – Physician or allowed practitioner 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

Long description

Physician or allowed practitioner 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

Short description

Md certification hha patient

Pricing indicator

11 Priced using national RVUs (Physician Fee Schedule)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Y1 Other - Medicare fee schedule

Added

October 1, 2000

Last change

March 1, 2020 – No change

Nearby G codes

• 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
• G0181 – Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans
• G0182 – Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more
• G0183 – Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from ct scan(s) data of the chest/heart (with or without contrast)
• G0186 – Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)
• G0202 – Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
• G0204 – Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
• G0206 – Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
• G0219 – Pet imaging whole body; melanoma for non-covered indications