G9187 – Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Long description

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Short description

Bpci home visit

Pricing indicator

13 Priced by the Medicare contractor (carrier)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5D Specialist - other

Added

October 1, 2013

Last change

October 1, 2013 – No change

Nearby G codes

• G9170 – Memory functional limitation, discharge status at discharge from therapy or to end reporting
• G9171 – Voice functional limitation, current status at therapy episode outset and at reporting intervals
• G9172 – Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
• G9173 – Voice functional limitation, discharge status at discharge from therapy or to end reporting
• G9174 – Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals
• G9175 – Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
• G9176 – Other speech language pathology functional limitation, discharge status at discharge from therapy or to end reporting
• G9186 – Motor speech functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
• G9188 – Beta-blocker therapy not prescribed, reason not given
• G9189 – Beta-blocker therapy prescribed or currently being taken
• G9190 – Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, allergy, intolerance, other medical reasons)
• G9191 – Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)
• G9192 – Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the health care system)
• G9193 – Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis of major depression
• G9194 – Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase
• G9195 – Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phase