G512

PDF page 516 / J102

Payment rules:
       1. The 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.
       2. G511, K071 or K072 are not eligible for payment to any physician when rendered during a
         week that G512 is rendered.
       3. G512 is limited to a maximum of one per week (Monday to Sunday inclusive) per patient
         and, in the instance a patient is transferred from one most responsible physician to another,
         is only eligible for payment to the physician who rendered the service the majority of the
         week.
       4. In the event of the death of the patient or where care commences on any day of the week,
         G512 is eligible for payment even if the service was not provided for the entire week.

PDF page 516 / J102

[Commentary:
       1.Services not excluded in payment rule #2 such as assessments, subsequent visit fees,
         W010, K023, special visit premiums etc. remain eligible for payment when rendered with
         G512.
       2.See the Definitions section of the General Preamble for the definition of palliative care
       3.This service is eligible for payment for services rendered to patients receiving palliative care
         in any location including their home, hospital, nursing home etc.]

Master, record 2223. Record Layout PDF, page 1.

G51220250401999999990000067750000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.