HCPCS code G0180 — Md certification hha patient. Status: Active. Effective Mar 1, 2020. Source: CMS HCPCS Level II.

G0180

Active

Md certification hha patient

Physician or allowed practitioner 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 and allowed practitioners to affirm the initial implementation of the plan of care

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Mar 1, 2020
Code type: alphanumeric
OPPS Status: M — Items / services not billable to the fiscal intermediary or MAC

MUE — Medically Unlikely Edits

Maximum units of G0180 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

G0180 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
G0179 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2020-Q1
    Md certification hha patient