Skip to Main Content

Home Health Code Conversions

Date: 12/19/16

Effective June 1, 2016, Medi-Cal eliminated the HCPCS Local Level codes for Home Health Agencies (HHA).  Z codes (aka Local Codes) that were used when billing for Home Health Care will no longer be applicable.  Providers are now required to bill HIPAA compliant codes. For more information, visit the DHCS website at www.dhcs.ca.gov.

Current Billing

New Billing

HCPCS Local Level III Code / Description

National Code /
Description

Revenue Code /
Description

Z6900/Skilled nursing services

HCPCS code G0154
Direct skilled nursing services of a licensed nurse (LPN or RN) in the home health or hospice setting, each 15 minutes

0551 
Skilled nursing/visit

Z6902/Home health aide services

HCPCS code G0156
Services of home health/hospice aide in home health or hospice setting, each 15 minutes

0571
Aide/Home Health/visit

Z6904/Physical therapy services

HCPCS code G0151
Services performed by a qualified physical therapist in the home or hospice setting each 15 minutes

0421
Physical therapy/visits

Z6906/Occupational therapy services

HCPCS code G0152
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes

0431
Occupational therapy/visit

Z6908/Speech therapy services

HCPCS code G0153
Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes

0441
Speech pathology/visit

Z6910/Medical social services

HCPCS code G0155
Services of clinical social worker in home health or hospice settings, each 15 minutes

0561
Medical social services/visit

Z6914/Case evaluation and initial treatment plan

HCPCS code G0162
Skilled services by a registered nurse (RN) in the delivery of management and evaluation of the plan of care; each 15 minutes (the patient’s underlying condition or complication requires an RN to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)

0583
Visit/Home Health/assessment

Z6916/Monthly case evaluation-extension of treatment plan

HCPCS code G0162 
Skilled services by a registered nurse (RN) in the delivery of management and evaluation of the plan of care; each 15 minutes (the patient’s underlying condition or complication requires an RN to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)

0589
Visit/Home Health/other

6918/Unlisted services including administered drugs and supplies

HCPCS code A9999
Miscellaneous DME supply or accessory, not otherwise specified

0270
Medical/surgical supplies

CPT-4 code 99600
Unlisted home visit service or procedure

0589
Visit/Home Health/other

Z6920/Early discharge follow-up visit

CPT-4 code 99501
Home visit for postnatal assessment and follow-up care 
CPT-4 code 99502
Home visit for newborn care and assessment

0580
Visit/Home Health