How To Use HCPCS Code G0299

HCPCS code G0299 describes the direct skilled nursing services provided by a registered nurse (RN) in the home health or hospice setting, with each 15-minute increment of service. This code is used to identify and bill for the professional services rendered by an RN in the context of home health or hospice care.

1. What is HCPCS G0299?

HCPCS code G0299 is a specific code used to identify direct skilled nursing services provided by an RN in the home health or hospice setting. It is important to note that this code is only applicable for services rendered by an RN and not other healthcare professionals. The code represents a 15-minute increment of service, allowing for accurate billing and reimbursement for the time spent by the RN in providing skilled nursing care.

2. Official Description

The official description of HCPCS code G0299 is “Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes.” The short description for this code is “HHS/hospice of RN ea 15 min.”

3. Procedure

1. The RN assesses the patient’s condition and develops a plan of care based on the individual’s specific needs.
2. The RN provides direct skilled nursing services, which may include wound care, medication administration, monitoring vital signs, and other necessary interventions.
3. The RN documents the services provided, including the time spent on each activity, in the patient’s medical record.
4. The RN communicates with other members of the healthcare team to ensure coordinated and comprehensive care for the patient.
5. The RN may provide patient and family education regarding the management of the patient’s condition and any necessary follow-up care.

4. When to use HCPCS code G0299

HCPCS code G0299 should be used when an RN provides direct skilled nursing services in the home health or hospice setting. This code is applicable for patients who require skilled nursing care and are receiving services in their own homes or in a hospice facility. It is important to ensure that the services provided meet the criteria for skilled nursing care and are within the scope of practice for an RN.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G0299, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the patient’s condition and the need for skilled nursing services
• Documentation of the specific services provided by the RN
• Documentation of the time spent on each activity
• Documentation of any patient education provided

Providers should also follow the billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement for the services rendered.

6. Historical Information and Code Maintenance

HCPCS code G0299 was added to the Healthcare Common Procedure Coding System on November 02, 2015. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has a pricing indicator code of 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means that the value for this code is not established.

7. Medicare and Insurance Coverage

HCPCS code G0299 is eligible for coverage and reimbursement by Medicare and other insurance carriers. However, it is important to verify coverage and reimbursement policies with the specific insurance carrier to ensure compliance with their guidelines. The pricing indicator code of 00 indicates that the service is not separately priced by Part B and may be bundled or not covered by certain insurance plans.

8. Examples

Here are five examples of when HCPCS code G0299 should be billed:

1. An RN provides wound care services to a patient receiving home health care.
2. An RN administers intravenous medications to a hospice patient.
3. An RN monitors vital signs and provides medication management for a patient with a chronic illness receiving home health care.
4. An RN provides education and support to a hospice patient and their family regarding end-of-life care.
5. An RN performs skilled nursing assessments and provides care coordination for a patient transitioning from a hospital to home health care.