I bill the G0299 and G0300 and use 15 min increments. This is for my Medicare and Medicare Advantage Plans. I use T codes for Medicaid payers. I have experimented with T code vs. G code on some private insurance claims and discovered that it varies greatly by payer which one is the best one to use. 

Sara

On Fri, Apr 22, 2022 at 11:26 AM Marnie Pogreba <marniepogreba@lakewoodhealthsystem.com> wrote:

We only have RN’s, we do use the different G codes listed below for RN’s (mostly G0299 and G0493) on Medicare and Medicare Advantage claims.  I have in my notes to only use G0299 for UCare Medicare Advantage and Blue Plus Medicare.  15 minute increments is how we report the units. 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Karen Gorecki
Sent: Friday, April 22, 2022 11:11 AM
To: billers@list.mnhomecare.org
Subject: RE: EXTERNALBilling with G codes for RN

 

**External Sender**

 

We only have RN so I only use the G0299 for Medicare and Medicare type payers.. I would also be interested to hear if other providers use the 15 minute code and what they use them for.

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
Sent: Friday, April 22, 2022 10:58 AM
To: billers@list.mnhomecare.org
Subject: EXTERNALBilling with G codes for RN

 

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

HCPCS Code	Valid For Dates of Service	Description
G0299	Services provided on or after January 1, 2016	Direct skilled nursing services of a registered nurse (RN) in home health or hospice setting, each 15 minutes.
G0300	Services provided on or after January 1, 2016	Direct skilled nursing of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes.
G0493	Services provided on or after January 1, 2017	Skilled services of a registered nurse (RN) for the observation and assessment of the patient's condition, each 15 minutes. NOTE: Only valid for home health providers.
G0494	Services provided on or after January 1, 2017	Skilled services of a licensed practical nurse (LPN) for the observation and assessment of a patient's condition, each 15 minutes. NOTE: Only valid for home health providers.
G0495	Services provided on or after January 1, 2017	Skilled services of a registered nurse (RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.  NOTE: Only valid for home health providers.
G0496	Services provided on or after January 1, 2017	Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes. NOTE: Only valid for home health providers.

 

 

I have a couple of questions regarding the G Codes when billing RN services. 

 

                Is everybody using these codes or are they just billing with the G0299 RN code?

 

                If you are using them, is it only for the Medicare and Medicare like payors?

 

For our waiver and MA clients we are using the T codes.

 

Thanks for your time and information.

 

Becky Landman

LifeCare Home Care & Hospice

715 Delmore Drive

Roseau, MN  56751

218-463-3211 Ext. 4173

 

 

 

 

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