2024 HCPCS Code G9187

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

TAGS: covered homebound performed billed patient management activities fluid initiative qualified health individuals professional assessment period limited compliance visit bundled performance improvement medication considered appropriateness payments transitional clinical

Short DescriptionBpci home visit
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date October 01, 2013
HCPCS Code Added Date October 01, 2013
HCPCS Pricing Indicator Code 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code 1 - Medical care
HCPCS Anesthesia Base Unit Quantity 0

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