Reason Code 37238
Published 10/02/2020
Description
The HCPCS G-code submitted is not reported with the correct corresponding revenue code.
Resolution
Reason code 37238 will display when a G-code HCPCS is submitted with an incorrect revenue code. Before submitting your claim, ensure that the G-codes listed below are reported with the corresponding revenue code.
|
HCPCS
|
Services Performed in 15-Minute Increments
|
REV Code
|
|---|---|---|
|
G0151
|
Physical Therapy
|
042X
|
|
G0152
|
Occupational Therapy
|
043X
|
|
G0153
|
Speech-Language Pathology
|
044X
|
|
G0154
(see note)
|
Direct skilled services of a licensed nurse (LPN or RN).
Note: Not valid for visits made on or after 1/1/2016
|
055X
|
|
G0155
|
Clinical Social Worker
|
056X
|
|
G0156
|
Home Health Aide
|
057X
|
|
G0157
|
PT assistant
|
042X
|
|
G0158
|
OT assistant
|
043X
|
|
G0159
|
PT establish or deliver safe and effective PT maintenance program
|
042X
|
|
G0160
|
OT establish or deliver safe and effective OT maintenance program
|
043X
|
|
G0161
|
SLP establish or deliver safe and effective SLP maintenance program
|
044X
|
|
G0162
|
RN (only) for management and evaluation of POC.
Note: Not valid for visits made on or after 1/1/2017
|
055X
|
|
G0163
(see note)
|
LPN or RN for the observation and assessment of the patient's condition
Note: Not valid for visits made on or after 1/1/2017
|
|
|
G0164
(see note)
|
LPN or RN training and/or education of patient or family member
Note: Not valid for visits made on or after 1/1/2017
|
|
|
G0299
(see note)
|
Direct skilled services of a licensed nurse (RN)
Note: Valid for visits made on or after 1/1/2016
|
055X
|
|
G0300
(see note)
|
Direct skilled services of a licensed nurse (LPN)
Note: Valid for visits made on or after 1/1/2016
|
055X
|
|
G0493
(see note)
|
RN for the observation and assessment of the patient’s condition
Note: Valid for visits made on or after 1/1/2017
|
055X
|
|
G0494
(see note)
|
LPN for the observation and assessment of the patient’s condition
Note: Valid for visits made on or after 1/1/2017
|
055X
|
|
G0495
(see note)
|
RN training and/or education of a patient or family member
Note: Valid for visits made on or after 1/1/2017
|
055X
|
|
G0496 (see note)
|
LPN training and/or education of a patient or family member
Note: Valid for visits made on or after 1/1/2017
|
055X
|