Billing Reminder: HCPCS Procedure Codes and Revenue Center Codes for Home Health Services
Date: 05/21/25
As a reminder, pursuant to DMMA billing guidelines and Delaware First Health, Home Health agencies must use a HCPCS procedure code along with the appropriate Revenue Center Code as listed below.
HCPCS CODE | DESCRIPTION | REVENUE CODE | DESCRIPTON |
G0151 | Services of physical therapist in home health setting, each 15 minutes | 0422 | Physical therapy, hourly charge |
G0152 |
Services of occupational therapist in home health setting, each 15 minutes | 0432 | Occupational therapy, hourly charge |
G0153 | Services of speech and language pathologist in home health setting, each 15 minutes | 0442 | Speech/language pathology, hourly charge |
G0154 | Services of skilled nurse in home health setting, each 15 minutes. Note: This code shall be used for ALL nursing services including nursing services provided to Assisted Living Waiver members and early postpartum discharge in-home assessment. | 0552 | Skilled nursing, hourly charge |
G0156 | Services of home health aide in home health setting, each 15 minutes. Note: This code shall be used for ALL home health aide services including home health aide services provided to Assisted Living Waiver members. | 0572 | Home health aide (Home Health), hourly charge |
Failure to submit claims with the above combinations may result in denials and/or recoupments.
For more information regarding billing requirements, access the Delaware First Health website and review the provider manual.