G-codes Medicare

[tklliving]

I work for a physical therapist.  We see our patients until their scripts are up; they then go back to their doctors and are released from PT; if they don't come back to PT we know to eventually DC them.  My question is; at that point I have billed their last session.  The PT may not dictate the DC note for a few weeks so I don't have the DC G-codes to bill with the last days charges because at the point we don't know that they are not coming back. Do I then send just the G-codes alone for the last date of service since the charges were billed weeks earlier?  Or do the G-codes have to be sent at the same time as the last billing?

Any help here is much appreciated.  This sort of slipped past me so trying to catch up.

[Merry]

Funny, you are the 3rd person to ask me about G codes today. Here is a great resource which will also answer your question. BTW, Advance mag is free.

http://physical-therapy.advanceweb.com/Archives/Article-Archives/G-codes-Explained.aspx

[blnord]

You cannot bill only G codes, if you did not attach them to the actual claim (visit) that the patient was discharged in most cases you don't need to worry, Medicare will consider the patient discharged after 60 days.  If for some reason the patient returns before the 60 days you will then need to go back and rebill the discharged visit with the proper G codes before they will pay subsequent visits.
Hope that helps..