Question 1

What is HCPCS code G0128?

Accepted Answer

HCPCS code G0128 is "Corf skilled nursing service". Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes

Question 2

What category is G0128 in?

Accepted Answer

G0128 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0128?

Accepted Answer

Use G0128 when billing for corf skilled nursing service. 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

Is G0128 covered by Medicare?

Accepted Answer

Coverage for G0128 (Corf skilled nursing service) 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 5

What documentation is required for G0128?

Accepted Answer

Documentation for G0128 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).