HCPCS code G0379 — Direct refer hospital observ.
Status: Active.
Effective Jan 1, 2010.
Source: CMS HCPCS Level II.
G0379
ActiveDirect refer hospital observ
Direct admission of patient for hospital observation care
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2010
Code type:
alphanumeric
OPPS Status:
J2
— Hospital Part B services paid through a comprehensive APC when billed with primary J1
OPPS APC:
5025
MUE — Medically Unlikely Edits
Maximum units of G0379 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 | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits