Skilled Nursing Code Change Removal of G0154 and G0154-TF
Effective December 31, 2015 the code currently used for Skilled Nursing Home Health
Setting G0154 and the code used for Extended State Plan Skilled Nursing G0154-TF will be
The following codes will now replace these codes;
G0299 Registered Nurse (RN-Only)-Skilled Nursing-Home Health Setting
G0299-TF Registered Nurse (RN-Only) Extended State Plan Skilled Nursing
G0300 Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN-Only) - Home
G0300-TF Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN-Only) - Extended
State Plan Skilled Nursing
The following changes will take effect for the Skilled Nursing Codes (G0154 and G0154-TF) as
The Medicaid Services Unit (MSU) will convert the currently authorized G0154 and G0154–TF
codes to the G0300 and G0300-TF codes to allow for the Licensed Practical Nurse or the
Licensed Vocational Nurse to provide the Service.
Timely filing for all billing is 6 months from service delivery but to assist with the conversion
and reduce number of future addendums, having the most updated billing of service utilization
for G0154 and G0154-TF codes are encouraged.
Information regarding the Provider Audits:
This change will not impact provider audits for fiscal year (FY) 2016. Any changes to provider
audits for future years will be communicated via the Quality Assurance/Improvement
department at that time.
Effective January 1, 2016, all Service Plans and Addendums submitted must reflect the new
codes listed above to alleviate potential delays in processing.