G0179 |
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Physician 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 to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period
short | Md recertification hha pt |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
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| 0.45 | 0.67 | 0.67 | 0.03 | 1.15 | 1.15 | XXX |
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MUE | Location | Value | Ajudication Indicator | Rationale |
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PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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G0180 |
 |
Physician 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 to affirm the initial implementation of the plan of care that meets patient's needs, per certification period
short | Md certification hha patient |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 0.67 | 0.78 | 0.78 | 0.05 | 1.5 | 1.5 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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G0181 |
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Physician 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 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
short | Home health care supervision |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.73 | 1.18 | 1.18 | 0.11 | 3.02 | 3.02 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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G0182 |
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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
short | Hospice care supervision |
RVU | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
---|
| 1.73 | 1.2 | 1.2 | 0.11 | 3.04 | 3.04 | XXX |
|
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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