HCPCS Codes
G0179: MD re-certification HHA
G0180: MD certification HHA
G0181: Home health care supervision
G0182: Hospice care supervision
G0181, G0182 – Requires 30 minutes or more of physician or NPP’s time within a calendar month.
Submit HCPCS code G0179 for re-certification after a patient has received services for at least 60 days (or one certification period). HCPCS code G0179 may be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapse and requires a new plan of care to start a new episode.
Submit HCPCS code G0180 when the patient has not received Medicare-covered home health services for at least 60 days. The initial certification (HCPCS code G0180) cannot be filed on the same date of service as the supervision service HCPCS codes (G0181 or G0182).
CPO Requirements
The physician provided a covered physician service that required a face-to-face encounter with the beneficiary within the 6 months immediately preceding the first care plan oversight service. Only evaluation and management services are acceptable prerequisite face-to-face encounters for CPO. EKG, lab, and surgical services are not sufficient face-to-face services for CPO; Wellness codes do not qualify.
The care plan oversight (CPO) services should be furnished during the period in which the beneficiary was receiving Medicare-covered HHA (home health aides) or hospice services;
The physician who bills CPO must be the same physician who signed the home health or hospice plan of care;