PPS Billing – New “G” Codes

We have made an update to the PPS Billing module. The new HCPCS “G” codes should be used on visits as of 01/01/2011 only if the assessment begins after 01/01/2011. If the assessment is from prior to 01/01/2011 the new codes should not be used even if the visit was after 01/01/2011. This makes it difficult from a setup standpoint. What we have done is modify the PPS Billing module to take the new “G” codes and convert them to the old codes if the assessment began prior to 01/01/2011. For example, if a G0157 is on a 01/03/2011 visit, but the assessment started 12/15/2010 then the system will change the HCPCS code to G0151. This applies to PPS billing only. This change will be available today on Version 4705.

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