G0042 Ref To Therapy - HCPCS Procedure & Supply Codes

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HCPCS

Temporary Procedures & Professional Services

Quality Reporting Codes

Therapy (physical, occupational, speech, recreational) — Receiving or Referred

G0042 Referral to physical, occupational, speech, or recreational therapy...

HCPCS Procedure & Supply Codes

G0042 - Referral to physical, occupational, speech, or recreational therapy

The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro  The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.sign INsign UP

auto-open Additional Code Information (Global Days, MUEs, etc.)

Additional Code Information includes: APC Status Indicator Assistant Surgeon (80, 82) Bilateral Surgery (50) CCS Clinical Classification Co-Surgeons (62) Diagnostic Imaging Family Facility MUEs Global Days Hierarchical Condition Categories (HCC) Major Complications or Comorbidities (MCC/CC)   Medicare Status Code Multiple Procedures (51) Non-Facility MUEs OTS Orthotic PC/TC Indicator (26) Physician Supervisions Team Surgery (66) Type Of Service (TOS) and more... Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

auto-open Top Modifiers - Most Often Billed

Save time with a Professional or Facility subscription! You will be able to see the most common modifiers billed to Medicare along with this code.

Invalid code. auto-open HCPCS Index Entries (Reverse Index Lookup) reverse_index/reverse_index_content.php?set=HCPCS&c=G0042 auto-open Code History

View historical information about the code including when it was added, changed, deleted, etc. Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

Invalid code. auto-open My Notes

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auto-open Articles & Newsletters newsletters/newsletter_content.php?set=HCPCS&c=G0042 auto-open Coding Tips

Subscribers will see related documentation, coding and billing tips. Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

auto-open DMEPOS Products (Durable Medical Equipment, Prosthetics, Orthotics, Supplies) dmepos/dmepos_content.php?set=HCPCS&c=G0042 auto-open Web-A-Code - Useful Web Links webacode/webacode_content.php?set=HCPCS&c=G0042 auto-open Medical Laboratory Tests medlabtests/medlabtests_content.php?set=HCPCS&c=G0042 auto-open Fees Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

auto-open Facility (Hospital, etc.)

Medicare vs. My Fee Evaluation

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$0.00	$0.00	$0.00	(your fee)

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Medicare Participating - Assignment Accepted (Mandatory)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$0.00	$##.##	$##.##

Medicare Non-Participating - Assignment Accepted (Check To Doctor)

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

auto-open Non-Facility (Office, etc.)

Medicare vs. My Fee Evaluation

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$0.00	$0.00	$0.00	(your fee)

Access to calculated fee values is available. Access to this feature is available in the following products: Medicare Fees Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete  Note: Subscribers will see the calculated values below.sign INsign UP

Medicare Participating - Assignment Accepted (Mandatory)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$0.00	$##.##	$##.##

Medicare Non-Participating - Assignment Accepted (Check To Doctor)

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

auto-open APC Fee Information

This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Access to this feature is available in the following products: Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete sign INsign UP

auto-open Fee Schedules

View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool. Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties See fees for ALL localities (all ZIP codes) as well as National fees Load UNLIMITED Fee Schedules with your fees or fees from your payers Create customized Fee Comparison Reports Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter Click here to learn more. Access to this feature is available in the following products: Find-A-Code Elite Unlimited Fee Reports™ sign INsign UP

auto-open UCR Fees (UCR, WC, Medicare)

View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. Access to this feature is available in the following products: Find-A-Code Premium Find-A-Code Elite Unlimited Fee Reports™ UCR and Workers Comp Fees  Note: Subscribers will see the fee graphs below.sign INsign UP

View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Access to this feature is available in the following products: Medicare Fees Find-A-Code Professional Find-A-Code Premium Find-A-Code Premium Find-A-Code Elite Find-A-Code Elite Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete Unlimited Fee Reports™ UCR and Workers Comp Fees  Note: Subscribers will see the fee graphs below.sign INsign UP

auto-open RVUs - Relative Value Units Calculated for National Unadjusted (00000)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

auto-open Facility 0.000 (Hospital, etc.) RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	0.000

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Practitioner Work Component: 0 Practitioner Labor

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

* Total Time may be greater than the displayed components. Work RVU Components (by modifier)

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##

Practice Expense: 0 Clinical Labor - Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time
$0.00 / min	## min	## min	## min	## min

Equipment - Direct Expense

Item	Purchase Price	Expected Life	Total Time
$##.##	## years	## min

Supplies - Direct Expense

Item	Unit Price	Quantity	Unit	Amount

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. PE RVU Components (by modifier)

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	0.000

Malpractice Component: 0.000 MP RVU Components (by modifier)

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.000

auto-open Non-Facility 0.000 (Office, etc.) RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	0.000

Access to calculated fee values is available. Access to this feature is available in the following products: Medicare Fees Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete  Note: Subscribers will see the calculated values below.sign INsign UP

Practitioner Work Component: 0 Practitioner Labor

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

* Total Time may be greater than the displayed components. Work RVU Components (by modifier)

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##

Practice Expense: 0 Clinical Labor (Non-Facility)- Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time
$0.00 / min	## min	## min	## min	## min

Equipment (Non-Facility)- Direct Expense

Item	Purchase Price	Expected Life	Total Time
$##.##	## years	## min

Supplies (Non-Facility)- Direct Expense

Item	Unit Price	Quantity	Unit	Amount

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense. PE RVU Components (by modifier)

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	0.000

Malpractice Component: 0.000 MP RVU Components (by modifier)

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.000

auto-open UCR-Based RVUs

View a table of UCR-Based Fees here. Access to this feature is available in the following products: Find-A-Code Premium Find-A-Code Elite Unlimited Fee Reports™ UCR and Workers Comp Fees  Note: Subscribers will see UCR-based RVU tables below.sign INsign UP

auto-open Cross-A-Code™ (ICD-9/10, CPT, Modifiers, NCCI, NDC, ASA CROSSWALK®) crosswalks/crosswalk_content.php?set=HCPCS&c=G0042

View relationships (or crosswalks) between code sets. Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete sign INsign UP

auto-open APCs & OPPS apc/apc_content.php?set=HCPCS&c=G0042 auto-open WK Drug Dictionary wk_drug/wk_drug_content.php?set=HCPCS&c=G0042 auto-open NCCI Edits (PTP, MUE) ncciedits/ncci_content.php?set=HCPCS&c=G0042 auto-open Medicare Policies & Guidelines (Articles, LCDs, NCDs) coverage/coverage_content.php?set=HCPCS&c=G0042 auto-open Commercial Payer Policies commercial-payers/commercial-payers-content.php?set=HCPCS&c=G0042 auto-open QPP (Quality Payment Program) Measures qpp/qpp_content.php?set=HCPCS&c=G0042 demo request yours today subscribe start today newsletter free subscription

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