Originally published November 17, 2017. Payer rules change; confirm current CMS and payer requirements before billing.
- G0179
- MD recertification, home health
- G0180
- MD certification, home health
- G0181
- Home health care supervision, 30+ minutes per calendar month
- G0182
- Hospice care supervision, 30+ minutes per calendar month
G0181 and G0182 require 30 minutes or more of physician or NPP time within a calendar month.
Bill G0179 for recertification after the patient has received services for at least 60 days (one certification period). It can be reported only once every 60 days, except in the rare case when the patient starts a new episode before 60 days pass and needs a new plan of care.
Bill G0180 when the patient has not received Medicare-covered home health services for at least 60 days. G0180 cannot be billed on the same date of service as G0181 or G0182.
For a more detailed walkthrough, see Billing G0179, G0180, G0181 and G0182.
CPO requirements
- The physician provided a covered service with a face-to-face encounter within the 6 months before the first CPO service. Only E/M services qualify; EKG, lab, surgical and wellness services don't.
- CPO must be furnished while the patient is receiving Medicare-covered home health or hospice services.
- The physician billing CPO must be the same physician who signed the home health or hospice plan of care.
Reference: Medicare Benefit Policy Manual, chapter 15.