Reason Code 32402
Published 09/21/2020
Description
The home health or hospice claim includes at least one HCPCS code that is not valid; or, at least one of the revenue code lines contains an invalid revenue code/HCPCS combination.
Resolution
If you are billing a revenue code for skilled nursing, therapy or aide services, ensure the correct “G” HCPC code is reported. Refer to the listing below to ensure the correct revenue code and HCPC combination is reported.
Home Health Valid HCPCS Codes
|
HCPCS Code
|
Valid for Dates of Service
|
Description
|
|---|---|---|
|
G0299
|
Services provided on or after January 1, 2016
|
Direct skilled nursing services of a registered nurse (RN) in home health or hospice setting, each 15 minutes.
|
|
G0300
|
Services provided on or after January 1, 2016
|
Direct skilled nursing of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes. |
|
G0493
|
Services provided on or after January 1, 2017
|
Skilled services of a registered nurse (RN) for the observation and assessment of the patient's condition, each 15 minutes.
NOTE: Only valid for home health providers.
|
|
G0494
|
Services provided on or after January 1, 2017
|
Skilled services of a licensed practical nurse (LPN) for the observation and assessment of a patient's condition, each 15 minutes.
NOTE: Only valid for home health providers.
|
|
G0495
|
Services provided on or after January 1, 2017
|
Skilled services of a registered nurse (RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.
NOTE: Only valid for home health providers.
|
|
G0496
|
Services provided on or after January 1, 2017
|
Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.
NOTE: Only valid for home health providers.
|
For home health episodes that span 2015/2016 or 2016/2017, report the appropriate G-code on the detail line based on the date of service.
Hospice Valid HCPCS Codes
|
HCPCS Code
|
Valid for Dates of Service
|
Description
|
|---|---|---|
|
G0299
|
Services provided on or after January 1, 2016
|
Direct skilled nursing services of a registered nurse (RN) in home health or hospice setting, each 15 minutes.
|
|
G0300
|
Services provided on or after January 1, 2016
|
Direct skilled nursing of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes.
|
Home Health Invalid HCPCS Codes
|
HCPCS Code
|
Invalid for Dates of Service
|
Description
|
|---|---|---|
|
G0154
|
Services provided on or after January 1, 2016
|
Direct skilled services of a licensed nurse (LPN or RN) in the home health or hospice setting, each 15 minutes.
|
|
G0162
|
Services provided on or after January 1, 2017
|
Skilled services of a licensed nurse (RN only) for management and evaluation of the plan of care, each 15 minutes.
|
|
G0163
|
Services provided on or after January 1, 2017
|
Skilled services of a licensed nurse (LPN or RN) for the observation and assessment of the patient's condition, each 15 minutes.
|
|
G0164
|
Services provided on or after January 1, 2017
|
Skilled services of a licensed nurse (LPN or RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.
|
Hospice Invalid HCPCS Codes
|
HCPCS Code
|
Invalid for Dates of Service
|
Description
|
|---|---|---|
|
G0154
|
Services provided on or after January 1, 2016
|
Direct skilled services of a licensed nurse (LPN or RN) in the home health or hospice setting, each 15 minutes.
|