The HCPCS codes for Remote In-House Evaluation and Management Assessment range from G9978 to G9987. These codes are used for remote in-home visits for the evaluation and management of new and established patients in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care. The services are provided using interactive audio and video technology, and the codes vary based on the complexity of the visit and the time spent with the patient or family.
1. HCPCS Code G9978
HCPCS G9978 describes a remote in-home visit for the evaluation and management of a new patient in a Medicare-approved BPCI Advanced model episode of care, with a problem focused history, examination, and straightforward medical decision making, typically lasting 10 minutes.
2. HCPCS Code G9979
HCPCS G9979 describes a remote in-home visit for the evaluation and management of a new patient in a Medicare-approved BPCI Advanced model episode of care, with an expanded problem focused history, examination, and straightforward medical decision making, typically lasting 20 minutes.
3. HCPCS Code G9980
HCPCS G9980 describes a remote in-home visit for the evaluation and management of a new patient in a Medicare-approved BPCI Advanced model episode of care, with a detailed history, examination, and low complexity medical decision making, typically lasting 30 minutes.
4. HCPCS Code G9981
HCPCS G9981 describes a remote in-home visit for the evaluation and management of a new patient in a Medicare-approved BPCI Advanced model episode of care, with a comprehensive history, examination, and moderate complexity medical decision making, typically lasting 45 minutes.
5. HCPCS Code G9982
HCPCS G9982 describes a remote in-home visit for the evaluation and management of a new patient in a Medicare-approved BPCI Advanced model episode of care, with a comprehensive history, examination, and high complexity medical decision making, typically lasting 60 minutes.
6. HCPCS Code G9983
HCPCS G9983 describes a remote in-home visit for the evaluation and management of an established patient in a Medicare-approved BPCI Advanced model episode of care, with a problem focused history, examination, and straightforward medical decision making, typically lasting 10 minutes.
7. HCPCS Code G9984
HCPCS G9984 describes a remote in-home visit for the evaluation and management of an established patient in a Medicare-approved BPCI Advanced model episode of care, with an expanded problem focused history, examination, and low complexity medical decision making, typically lasting 15 minutes.
8. HCPCS Code G9985
HCPCS G9985 describes a remote in-home visit for the evaluation and management of an established patient in a Medicare-approved BPCI Advanced model episode of care, with a detailed history, examination, and moderate complexity medical decision making, typically lasting 25 minutes.
9. HCPCS Code G9986
HCPCS G9986 describes a remote in-home visit for the evaluation and management of an established patient in a Medicare-approved BPCI Advanced model episode of care, with a comprehensive history, examination, and high complexity medical decision making, typically lasting 40 minutes.
10. HCPCS Code G9987
HCPCS G9987 is a bundled payment code for a home visit assessment performed by clinical staff for an individual not considered homebound, including various patient assessments and ensuring beneficiary connections to community and other services, for use only in a BPCI Advanced model episode of care.
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