Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code
Procedures/Professional Services (Temporary Codes)
G9987 is a valid 2019 HCPCS code for Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code or just “Bpci advanced in home visit” for short, used in Medical care.
G9987 has been in effect since 10/01/2018
HCPCS Level II Code Procedures/Professional Services (Temporary Codes) |
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HCPCS Code | G9987 |
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Description |
Long description:
Short description: |
HCPCS Modifier1 | |
HCPCS Pricing indicator |
13 - Clinical Lab Fee Schedule - Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
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Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
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Coverage code | C - Carrier judgment |
BETOS2 code | M5D - Specialist - other |
HCPCS Action code | A - Add procedure or modifier code |
Type of service | 1 - Medical care |
Effective date | Effective Oct 01, 2018 |
Date added | Added Oct 01, 2018 |
HCPCS Coding Procedures |
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”