Can a Physician’s Assistant Bill for G0180 Under CPO?

Questions, Resources for Physicians

Question: Can a physician’s assistant (under supervision of an MD) bill for G0180?

Answer: Certification G0180 is the initial certification of a patient for Medicare-covered home health services. This code is used when the patient has not received Medicare-covered home health care for at least 60 days. The work this certification process requires includes: ordering the plan of care, signing the 485, and documenting the face-to-face encounter. Only physicians are allowed to bill for initial Certification and Recertification billing, however physician assistants, as well as nurse practitioners, may provide care plan supervision (G0181/G0182) services if they meet certain criteria. Physician assistants and nurse practitioners get reimbursed at 85 percent of an MD scheduled rate.