03/27/17
When Do I Have to Report G-Codes
Functional Limitation Reporting (FLR) (i.e. G-codes) has been required for dates of service on and after July 1, 2013 for Medicare beneficiaries receiving outpatient therapy services being billed under their Part B Medicare benefits. I still receive many questions when G-codes have to be reported on the claim form. Many of the questions I receive concern if a therapist only bills an L code for an orthosis during the patients initial visit, do I need to report G-codes? Another question I receive is are G-codes required if on the first visit, I only bill CPT code 97542 for a wheelchair
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