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What are Medicare G-codes?

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Quick Answer

Rehabilitative therapy providers use Medicare G-codes to satisfy requirements for functional limitation reporting and PQRS requirements, according to WebPT. These codes allow for the tracking of information about the overall condition and function of Medicare beneficiaries.

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Full Answer

Occupational therapists, speech-language pathologists and physical therapists who are eligible all use Medicare G-codes as part of their reporting. To follow the regulations for FLR compliance, therapists have to report these codes, as well as the matching therapy and severity modifiers, at the first visit and then at least every tenth visit, as well as at discharge, notes WebPT.

Therapists must enter Medicare G-codes as separate line items. After entering regular CPT codes to indicate the specific treatment provided, the G-code follows, and the therapist enters a nominal charge next to each. Forty-two different G-codes exist for Medicare treatment. For example, G8978 Mobility is used for walking and dealing with the functional limitation, with focus on the patient's current status, according to WebPT.

In addition to the mobility codes, other categories include changing and maintaining body position; carrying, moving and handling objects; self care; other physical therapy/occupational therapy primary functional limitation; and other PT/OT subsequent functional limitation. Severity modifiers indicate the degree of limitation, and therapy modifiers indicate the services that the therapist provides, as stated by WebPT.

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