Get Physician Certification Recertification For Medicare Part A 2020-2025

You may bill for codes G0179 and G0180 immediately following reviewing and signing a Cert or Recert of patient's Plan of Care. However, if a patient is readmitted to Home Health with a different Plan of Care during the same month as the original Cert or Recert, the physician can only bill once during that month.

HCPCS code G0180 for Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial ...

HCPCS code G0179 for Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the ...

G0179 includes time for contact with the HHA and review of patient status reports. The short description for G0180 is “MD certification HHA patient.” G0180 is used for the initial certification when the patient has not received Medicare-covered home health services for over 60 days.

The G0180 can be submitted if the patient has not received Medicare covered home health services for at least 60 days. When a patient has received services for at least 60 days, the plan of care must be recertified. HCPCS code G0179 is used for each subsequent 60-day plan of care.

Home Health Code Conversions Current BillingNew BillingZ6914/Case evaluation and initial treatment plan0583 Visit/Home Health/assessmentZ6916/Monthly case evaluation-extension of treatment plan0589 Visit/Home Health/other6918/Unlisted services including administered drugs and supplies0270 Medical/surgical supplies9 more rows • Dec 19, 2016

Code G0179 should be reported only once every 60 days, except in the rare situation when a patient starts a new episode before 60 days elapses and requires a new plan of care. The Medicare allowed amount for this service (unadjusted geographically) is $61.21.