CMS New Patient Location & Other Requirements

Beginning July 1, 2013 home health agencies will have to utilize new Q codes to report were the home health services were provided.  The definitions of the Q codes are listed below:

• Q5001: Hospice or home health care provided in patient’s home/residence
• Q5002: Hospice or home health care provided in assisted living facility
• Q5009: Hospice or home health care provided in place not otherwise specified

HHAs must report when there are changes/additions to the plan of care by a physician other than the certifying physician using a modifier to indicate changes/additions to the plan of care by a physician other than the certifying physician.  Modifier XX must be appended to the HCPCS G code describing any visited added to the plan of care by that physician. 

Revisions to the definitions of the Q codes above will be published in the HCPCS update on March 31, 2013.  Modifier XX is a placeholder value.  The actual modifier and it final definition will also be published in the HCPCS update.

For more information please utilize the following link.

www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2650CP.pdf