G0068 |
 |
Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, and/or inotropic infusion drug(s) for each infusion drug administration calendar day in the individual's home, each 15 minutes
short | Adm of infusion drug in home |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | OPH | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
G0069 |
 |
Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day in the individual's home, each 15 minutes
short | Adm of immune drug in home |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | OPH | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
G0070 |
 |
Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individual's home, each 15 minutes
short | Adm of chemo drug in home |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | OPH | 16.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
G0071 |
 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only
short | Comm svcs by rhc/fqhc 5 min |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.22 | 0.08 | 0.14 | 0.02 | 0.32 | 0.38 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0076 |
 |
Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care manag h vst new pt 20 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.01 | 0.48 | 0.48 | 0.09 | 1.58 | 1.58 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0077 |
 |
Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care manag h vst new pt 30 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.52 | 0.61 | 0.61 | 0.12 | 2.25 | 2.25 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0078 |
 |
Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care manag h vst new pt 45 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 2.53 | 0.97 | 0.97 | 0.21 | 3.71 | 3.71 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0079 |
 |
Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care manag h vst new pt 60 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 3.38 | 1.55 | 1.55 | 0.27 | 5.2 | 5.2 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0080 |
 |
Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care manag h vst new pt 75 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 4.09 | 1.9 | 1.9 | 0.32 | 6.31 | 6.31 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0081 |
 |
Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man h v ext pt 20 mi |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.0 | 0.49 | 0.49 | 0.09 | 1.58 | 1.58 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0082 |
 |
Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man h v ext pt 30 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.56 | 0.72 | 0.72 | 0.12 | 2.4 | 2.4 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0083 |
 |
Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man h v ext pt 45 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 2.33 | 1.17 | 1.17 | 0.18 | 3.68 | 3.68 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0084 |
 |
Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man h v ext pt 60 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 3.28 | 1.56 | 1.56 | 0.27 | 5.11 | 5.11 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0085 |
 |
Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man h v ext pt 75 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 4.09 | 1.9 | 1.9 | 0.32 | 6.31 | 6.31 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0086 |
 |
Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man home care plan 30 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.25 | 0.85 | 0.85 | 0.09 | 2.19 | 2.19 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
G0087 |
 |
Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)
short | Care man home care plan 60 m |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.8 | 1.12 | 1.12 | 0.13 | 3.05 | 3.05 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
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