On May 1, 2020, CMS released Change Request R10086CP which outlines billing and claims processing instructions for two new HCPCS G-codes that describe maintenance services provided by a PTA or an OTA in the home health setting. These two new codes are to be implemented October 5, 2020.
- G2168: Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes
- G2169: Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
CMS states these new codes will be accepted by Medicare systems when submitted after October 5, 2020, for dates of service on or after January 1, 2020. Until then, home health agencies should continue to report G0157 and G0158 for any services provided by assistants in 2020.