HCPCS code G0409 — Corf related serv 15 mins ea.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
G0409
ActiveCorf related serv 15 mins ea
Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0409 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 | 4 |
| Practitioner Services | 4 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0409 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0155 | Modifier may bypass edit |
| G0176 | Modifier may bypass edit |
| G0177 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)