Question 1

What is HCPCS code G0136?

Accepted Answer

HCPCS code G0136 is "Adm of pa/n assess 5-15 m". Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months

Question 2

What category is G0136 in?

Accepted Answer

G0136 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0136?

Accepted Answer

Use G0136 when billing for adm of pa/n assess 5-15 m. 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 G0136 covered by Medicare?

Accepted Answer

Coverage for G0136 (Adm of pa/n assess 5-15 m) 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 G0136?

Accepted Answer

Documentation for G0136 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).