AHA Coding Clinic® for HCPCS - 2016 Issue 1; For Your Information

HCPCS G-code changes effective April 1, 2016

HCPCS G-codes HCPCS CodeLong DescriptorEffective DateG9490 Comprehensive Care for Joint Replacement model, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in the Medicare-approved Comprehensive Care for Joint Replacement model); may not be billed for a 30 day period covered by a transitional care management code. 04/01/2016 G9481 Remote in-home visit for the...

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