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G-Code Documentation

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS

April 8, 2013

Question

Are COTAs able to submit G-codes for Medicare billing?

Answer

G-codes are a way for CMS to collect information on their beneficiaries’ function and condition on claims forms (https://www.webpt.com/blog/post/ain’t-nothin’-g-code-baby-what-you-need-know-about-new-g-codes#sthash.E6RWazG3.dpuf).  

According to Medicare guidelines, G-codes are needed on the initial evaluation, discharge, 10th visit progress report, re-evaluation, etc.  Medicare states that an assistant may not complete this documentation.  Always refer to your state practice guidelines, but a good rule of thumb is to follow the more stricter guidelines to be safe.


kathleen weissberg

Kathleen Weissberg, OTD, OTR/L, CMDCP, CDP, CFPS, CGCS

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 30+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She provides continuing education support to over 30,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner, Certified Montessori Dementia Care Practitioner, Certified Fall Prevention Specialist, and a Certified Geriatric Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Action Committee and is an adjunct professor at Gannon University in Erie, PA. 

 


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