Codes

Reimbursement*

Requirements**

G0179

$ 51.39

Physician recertification for Medicare-covered home-health services. This includes reviewing and signing Home Health Care Plan of Care (form 485), contacts with agency personnel, review of reports per 60-day certification period. Documentation (copy of form 485) must be present in patient medical record.

G0180

$ 66.44

Physician certification for Medicare-covered services. As above, the physician affirms the implementation of the care plan and affirms that it meets the patient’s needs as documented in form 485, and a copy exists in patient record.

G0181

$112.25

Physician supervision of a patient receiving Medicare-covered services requiring complex and multidisciplinary care involving regular physician involvement or revision of care plans, review of subsequent reports of patient status, review of diagnostic tests, and discussions with family. This must be 30 minutes or more within a calendar month. Documentation must be present in the patient medical record or log.

G0182

$118.46

Same as G0180 but with a patient in a Medicare-approved hospice program.