Tuesday, November 1, 2022

EEOICPA Bulletin 23-03: New Billing Authorization Codes for Home and Residential Health Care

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Release of Bulletin No. 23-03

New Billing Authorization Codes for Home and Residential Health Care (HRHC).

EEOICPA Bulletin No. 23-03, effective December 17, 2022, modifies the billing authorization codes for HRHC. The guidance in this bulletin and its attachment serve to supersede the guidance contained in Federal (EEOICPA) Procedure Manual (v7.0), Exhibit 30-4 or any subsequent versions of the Procedure Manual that the program publishes until these codes are incorporated officially into the Procedure Manual by inclusion in a future transmittal directive.

Background: The Division of Energy Employees Occupational Illness Compensation (DEEOIC), has modified the billing authorization codes for HRHC. The codes listed in Exhibit 30-4 of Federal (EEOICPA) Procedure Manual (v7.0) should no longer be used. The new codes are included as an attachment to the bulletin.

This is a summary of the changes:

  • Per-diem codes are being removed for in-home care
  • Billing for medically necessary in-home care services will be reimbursed using hourly and 15-minute increments
  • Reimbursement for authorized assisted living will be reimbursed using monthly and daily increments
  • Services for Personal Care Attendants, Home Health Aides, and Certified Nurse Assistants will be reimbursable using code S9122 (per hour) or T1019 (per 15-minutes).

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U.S. Department of Labor, Office of Workers' Compensation Programs, Division of Energy Employees Occupational Illness Compensation, 200 Constitution Ave NW, Washington, DC 20210
www.dol.gov/agencies/owcp/energy | Telephone: 1-866-888-3322 | TTY | Contact Us


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