How To Use HCPCS Code G0337

HCPCS code G0337 describes the evaluation and counseling services provided by hospice organizations to patients before they elect to receive hospice care. This code is used to identify and bill for the pre-election evaluation and counseling services provided to patients who are considering hospice care.

1. What is HCPCS G0337?

HCPCS code G0337 is a specific code used in medical coding to identify and bill for hospice evaluation and counseling services provided to patients prior to their election of hospice care. This code is used to document and track the services provided during the pre-election phase of hospice care.

2. Official Description

The official description of HCPCS code G0337 is “Hospice evaluation and counseling services, pre-election.” The short description for this code is “Hospice evaluation preelecti.” This description accurately reflects the purpose and nature of the services provided under this code.

3. Procedure

1. The provider initiates the pre-election evaluation and counseling process when a patient expresses interest in hospice care.
2. During the evaluation, the provider assesses the patient’s medical condition, prognosis, and eligibility for hospice care.
3. Counseling services are provided to the patient and their family members to discuss the benefits, risks, and options associated with hospice care.
4. The provider addresses any questions or concerns the patient may have and provides them with the necessary information to make an informed decision.
5. Documentation of the evaluation and counseling services is completed, including the patient’s decision regarding hospice care.

4. When to use HCPCS code G0337

HCPCS code G0337 should be used when a hospice organization provides evaluation and counseling services to a patient who is considering hospice care. This code is specifically used for the pre-election phase of hospice care and should not be used for other hospice-related services or stages of care.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G0337, healthcare providers need to document the following:

• The date of the evaluation and counseling services
• The duration of the services provided
• The patient’s medical condition and prognosis
• The patient’s decision regarding hospice care
• Any counseling or educational materials provided to the patient and their family members

Providers should also ensure that the documentation supports the medical necessity of the evaluation and counseling services provided.

6. Historical Information and Code Maintenance

HCPCS code G0337 was added to the Healthcare Common Procedure Coding System on January 01, 2005. 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 remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code G0337 is payable by Medicare and other insurance providers. The pricing indicator code 11 indicates that the price for this service is established using national Relative Value Units (RVUs). The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of scenarios where HCPCS code G0337 should be billed:

1. A patient with a terminal illness visits a hospice organization to learn about the benefits and options of hospice care.
2. A healthcare provider conducts an evaluation of a patient’s medical condition and prognosis to determine their eligibility for hospice care.
3. A hospice organization provides counseling services to a patient and their family members to address their concerns and provide information about hospice care.
4. A patient decides to elect hospice care after receiving the evaluation and counseling services.
5. The hospice organization documents the pre-election evaluation and counseling services provided to the patient for billing purposes.