Question 1

What is HCPCS code G0018?

Accepted Answer

HCPCS code G0018 is "Crisis psychotherapy add 30m". Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)

Question 2

What category is G0018 in?

Accepted Answer

G0018 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0018?

Accepted Answer

Use G0018 when billing for crisis psychotherapy add 30m. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

What ICD-10 codes are commonly used with G0018?

Accepted Answer

Common ICD-10 diagnosis codes used with G0018 include: A52.17 (General paresis), C71.0 (Malignant neoplasm of cerebrum, except lobes and ventricles), C71.1 (Malignant neoplasm of frontal lobe), C71.2 (Malignant neoplasm of temporal lobe). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0018 covered by Medicare?

Accepted Answer

Coverage for G0018 (Crisis psychotherapy add 30m) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 6

What documentation is required for G0018?

Accepted Answer

Documentation for G0018 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).