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October 28, 2015

Home Health Billing Clarification for New G-Codes

Change Request 9369External PDF established two new G-codes, G0299 (services of a registered nurse) and G0300 (services of a licensed practical nurse) to differentiate levels of nursing services provided during a hospice stay and a home health episode of care.

CGS has received questions from home health providers in regard to billing two new G-codes (G0299 and G0300) when a final claim spans 2015/2016 dates. The Centers for Medicare & Medicaid Services (CMS) has provided clarification. For home health episodes that span January 1, 2016, report G0154 for 2015 visits. The new codes, G0299 or G0300, would be reported for visits made in 2016. The G0154 code will no longer be allowed for visits made on or after January 1, 2016.

For additional information, please refer to the MM9369External PDF Medicare Learning Network Matters® article.

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