How To Use HCPCS Code G2002
HCPCS code G2002 describes a limited (30 minutes) in-home visit for a new patient post-discharge. This code is specifically used in a Medicare-approved CMMI model, and the 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. It is important to note that this code can only be used up to 9 times.
1. What is HCPCS G2002?
HCPCS code G2002 is a specific code used to identify a limited in-home visit for a new patient post-discharge. The visit duration is set at 30 minutes. It is important to understand that this code is only applicable in a Medicare-approved CMMI model. The purpose of this code is to capture and bill for the services provided during a post-discharge visit for a new patient.
2. Official Description
The official description of HCPCS code G2002 is “Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model.” The short description for this code is “Post-d/c h vst new pt 30 m.”
3. Procedure
- The provider initiates the in-home visit for a new patient who has been discharged from an inpatient facility within the last 90 days.
- The visit duration is limited to 30 minutes.
- During the visit, the provider assesses the patient’s condition, reviews their medical history, and performs any necessary examinations or tests.
- The provider may also provide counseling or education to the patient regarding their post-discharge care plan.
- Documentation of the visit, including the patient’s medical history, examination findings, and any services provided, is essential for accurate billing and reimbursement.
4. When to use HCPCS code G2002
HCPCS code G2002 should be used when providing a limited in-home visit for a new patient who has been discharged from an inpatient facility within the last 90 days. It is important to note that this code can only be used in a Medicare-approved CMMI model. Providers should ensure that the visit duration does not exceed 30 minutes and that the visit is within the allowed number of visits (up to 9 times).
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code G2002, healthcare providers need to ensure that they document the following:
- Date of the visit
- Duration of the visit (30 minutes)
- Patient’s medical history
- Examination findings
- Services provided during the visit
It is crucial to accurately document the visit to support the medical necessity and appropriateness of the services provided. Proper documentation also ensures accurate billing and reimbursement.
6. Historical Information and Code Maintenance
HCPCS code G2002 was added to the Healthcare Common Procedure Coding System on January 01, 2019. As of the effective date, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.
7. Medicare and Insurance Coverage
HCPCS code G2002 is payable by Medicare. The pricing indicator code for this code is 13, which means the price is established by carriers. This indicates that the pricing for this code is determined by carriers based on their individual determination and discretion. The multiple pricing indicator code for G2002 is A, which means it is not applicable as HCPCS priced under one methodology.
8. Examples
Here are five examples of scenarios where HCPCS code G2002 should be billed:
- A new patient is discharged from an inpatient facility and requires a 30-minute in-home visit for post-discharge care within 90 days.
- A Medicare beneficiary is discharged from a nursing facility and needs a limited in-home visit for assessment and counseling.
- An assisted living resident is discharged from a hospital and requires a 30-minute in-home visit for follow-up care.
- A patient is discharged from a rest home and needs a post-discharge visit for medication management and education.
- A domiciliary resident is discharged from an inpatient facility and requires a limited in-home visit for wound care and monitoring.
