Wash. HCA Hospice Services Billing Guide, What places of service are allowable?

The following is a chart explaining where hospice care may be performed:

Place of Service/Client Residence

Type of

Service/Levels of Care

Client’s Home

(AFH, BH, AL)

Nursing Facility

(NF) Hospital

Hospice Care

Center (HCC)

Level 1: Routine

Home Care (RHC)

(0651)

Yes

Not in

combination w/

any other code

Yes

Not in

combination w/

any other level of

care

No Yes

Not in

combination w/

any other level of

care

Level 2: Continuous

Home Care (CHC)

(0652)

Hourly nursing

Yes

Not in

combination w/

any other code

No No No

Level 3: Inpatient

Respite

(0655)

Includes R/B

No Yes

For clients not

residing in NF

Not in

combination w/

any other code

Yes

Not in

combination

w/any other code

Yes

For clients not

residing in HCC

Not in

combination w/

any other code

Level 4: General

Inpatient Care (GIP)

(0656)

Includes R/B

No Yes

Not in

combination w/

any other code

Yes

Not in

combination w/

any other code

Yes

Not in

combination w/

any other code

Nursing Facility (NF)

R/B (0115, 0125,

0135)

No Yes

Not in

combination w/

0655 or 0656

No No

Hospice Care Center

(HCC)

(0145)

R/B Admin day rate

No No No Yes

Not in

combination w/

0656 or 0655

Pediatric Palliative

Care (PPC)

(0659)

Yes

Not for clients in

a group home

No No No