Question 1

What is HCPCS code G0146?

Accepted Answer

HCPCS code G0146 is "Nav srv peer sup add 30 pr m". Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)

Question 2

What category is G0146 in?

Accepted Answer

G0146 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0146?

Accepted Answer

Use G0146 when billing for nav srv peer sup add 30 pr 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 G0146 covered by Medicare?

Accepted Answer

Coverage for G0146 (Nav srv peer sup add 30 pr 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 G0146?

Accepted Answer

Documentation for G0146 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).