G0182
ActiveHospice care supervision
Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more
MUE — Medically Unlikely Edits
Maximum units of G0182 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 G0182 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0102 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0182 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 |
| G0181 | Modifier may bypass edit |
| Q0091 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)