Wiki PCP visiting Nursing Home but pt is in Hospice

[EverythingCoding]

Please help! Second time posting this question...

our doctor is a PCP and sees patients in Nursing Homes also.
patient is staying in a nursing Home but the pt was in Hospice
ca i bill this to Medicare?
if yes how do I code this and what POS code should i use?

will it be right if i use nursing home codes(99304-99310) and the POS code 34?

I am not sure if this is right or wrong. Can anybody advise on this please...

thank you

 

[rose2014]

There is a G coe for that, but check if ur Dr. is hospice provider or not.Accordingly use the G code.

 

[tlwhlw]

Our physicians do these types of visits.....I post as appropriate nursing home charge (99304 - 99316). POS would be SNF 31, NF 32. If it is a Hospice facility, then use 34. Attach Modifier GV to CPT code to indicate your physician is not hospice physician/employed by the hospice service.

Hope this helps!
Tracy Wood, CPC

 

[vasc2024]

Hi, what happens if the provider sees patient via telehealth video? Do we use POS 2 with modifier 95 if the patient is in a SNF?