HCPCS code G0337 — Hospice evaluation preelecti. Status: Active. Effective Jan 1, 2005. Source: CMS HCPCS Level II.

G0337

Active

Hospice evaluation preelecti

Hospice evaluation and counseling services, pre-election

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2005
Code type: alphanumeric
OPPS Status: B — Code not recognized by OPPS — billed via another route

MUE — Medically Unlikely Edits

Maximum units of G0337 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 G0337 without appropriate documentation.

Column 2 Code Modifier
G0101 Modifier cannot bypass edit
G0102 Modifier cannot bypass edit
G0104 Modifier cannot bypass edit
G0105 Modifier cannot bypass edit
G0117 Modifier cannot bypass edit
G0118 Modifier cannot bypass edit
G0121 Modifier cannot bypass edit
G0245 Modifier cannot bypass edit
G0246 Modifier cannot bypass edit
G0248 Modifier cannot bypass edit
G0250 Modifier may bypass edit
G0271 Modifier cannot bypass edit
G0410 Modifier may bypass edit
G0411 Modifier may bypass edit
G0463 Modifier cannot bypass edit
P3000 Modifier cannot bypass edit
P3001 Modifier cannot bypass edit
Q0091 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)