G0181
ActiveHome health care supervision
Physician or allowed practitioner 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 or allowed practitioner development and/or revision of care plans
MUE — Medically Unlikely Edits
Maximum units of G0181 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
The following codes cannot be billed together with G0181 without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0181 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C9796 | Modifier may bypass edit |
| C9797 | Modifier cannot bypass edit |
| G0101 | Modifier may bypass edit |
| G0104 | Modifier may bypass edit |
| G0105 | Modifier may bypass edit |
| Q0091 | Modifier may 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-Q1Home health care supervision