Palliative care diagnostic & therapeutic procedures G511 - Telephone management regarding a patient receiving palliative care athome ,,, per call

General Info

Billing Amount: $17.75

Description

The provision by telephone of medical advice, direction or information at the request of the patient, patient’s relative(s), patient’s representative or other caregiver(s), regarding a patient receiving palliative care at home. The service must be rendered personally by the physician and is eligible for payment only when a dated summary of the telephone call is recorded in the patient’s medical record.

Notes:

1. This service is limited to a maximum of two services per week.
2. This service is not eligible for payment if rendered the same day as a consultation, assessment, time-based service or other visit by the same physician.
3. This service is not eligible for payment if a claim is submitted for K071 or K072 for the same telephone call.
4. This service is only eligible for payment when rendered by the physician most responsible for the patient’s care or by a physician substituting for this physician.

This service is only eligible for payment when the patient is receiving palliative care in either the patient’s home or the home of a family member or other individual with whom the patient is residing. See definitions of "home" and "palliative care" in the Definitions section of the General Preamble.