HCPCS code G0128 — Corf skilled nursing service.
Status: Active.
Effective Apr 1, 1998.
Source: CMS HCPCS Level II.
G0128
ActiveCorf skilled nursing service
Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Apr 1, 1998
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0128 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0128 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0162 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)