HCPCS G2004 Code. Post-d/c h vst new pt 60 m


Table of content for "Post-d/c h vst new pt 60 m" (HCPCS G2004)

General information on the “G2004” code

HCPCS Code: G2004
Long Description: Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Short Description: Post-d/c h vst new pt 60 m

Original information is taken from G2004 page

Pricing indicators

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): M4A – Home visit
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20190101
Code Effective Date: 20190101
Action Code: N – No maintenance for this code