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G-Code Documentation

Kathleen Weissberg, OTD, OTR/L

April 8, 2013

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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

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 25+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; has spoken at numerous conferences both nationally and internationally, for 20+ State Health Care Associations, and for 25+ state LeadingAge affiliates.  She provides continuing education support to over 17,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner and a Certified Montessori Dementia Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Affairs Affiliates and is an adjunct professor at both Chatham University in Pittsburgh, PA and Gannon University in Erie, PA. 


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