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Thread Topic: HCPCS code G0327
Topic Originator: Cheryl
Post Date August 8, 2007 @ 7:45 AM
HCPCS code G0327


Cheryl
August 8, 2007 @ 7:45 AM Reply  |  Email Friend   |  |Print  |  Top

Can someone explain exactly how this code is used? Is it only for
PD patients?

Dana
August 8, 2007 @ 9:37 AM Reply  |  Email Friend   |  |Print  |  Top

I hope this helps....this is for services as of 1/1/04 and after

In the CY 2005 physician fee schedule final rule (published November 15, 2004 and effective January 1, 2005), the description for ESRD related services, HCPCS codes G0324  G0327, was revised to remove the word home to allow these codes to be used for ESRD related services performed at other settings.  Therefore, effective for services rendered January 1, 2005 and after, HCPCS codes G0324  G0327 can be billed in the following scenarios:



Patients in Hospital Observation Status

Physicians and practitioners providing ESRD related visits to beneficiaries in observation status should bill using HCPCS codes G0324  G0327 outside of the monthly capitation payment (MCP).  If the MCP physician furnishes a complete assessment of the patient, he or she may bill the appropriate G code corresponding to the number of visits furnished during the month.  However, the visit furnished in the observational setting must be billed separately from the MCP.



Partial Month Scenarios

Partial month scenarios should be coded using the HCPCS codes G0324-G0327.  These include the following scenarios:

¨       Home dialysis patients (less than full month)

¨       Transient patients  Patients traveling away from home (less than full month).

¨       Partial month where there was one or more face-to-face visits without a complete assessment of the patient, and the patient was either hospitalized before a complete assessment was furnished, dialysis stopped due to death, or the patient had a transplant.

¨       Patients who have a permanent change in their MCP physician during the month.

For services rendered January through December 2004, continue to use unlisted CPT code 90999

Dana
August 8, 2007 @ 9:42 AM Reply  |  Email Friend   |  |Print  |  Top

Checks these links as well....they give good information on the code


https://www.noridianmedicare.com/p-medb/train/presentations/esrd.pdf

http://dhfs.wisconsin.gov/Medicaid/updates/2004/2004pdfs/2004-64.pdf

http://www.highmarkmedicareservices.com/bulletins/partb/news03232004a.html

cheryl
August 8, 2007 @ 11:40 AM Reply  |  Email Friend   |  |Print  |  Top

Can I bill a transient this code if we saw him for 3 dialysis during a
week??G0327 x3  or G0327  7-1-07   G0327   7-6-07  G0327 7-11-07.
Also,,if a pt dies on 7-5-07...then I would bill this code how???
I am not getting this.



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