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Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans pdf
Connecticut Medicaid (HUSKY Health)·Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Sep 13, 2017
We identified it
Jun 20, 2026
Summary
Home health agencies must change their billing approach for therapy care plan reviews. For services from April 1-September 12, 2017, use code G0162 for all care plan reviews regardless of therapist type. Starting September 13, 2017, use specific therapy codes G0151, G0152, and G0153 based on the type of therapist performing the review.
Action Required
By September 13, 2017: Billing team must update system to bill therapy care plan reviews using specific HCPCS codes G0151 (physical therapy), G0152 (occupational therapy), and G0153 (speech-language pathology) instead of the universal G0162 code. For dates of service April 1-September 12, 2017, continue using G0162 for all therapy care plan reviews. Update billing software rules and train staff on the transition date.