Question 1

What is HCPCS code G0154?

Accepted Answer

HCPCS code G0154 is "Hhcp-svs of rn,ea 15 min". Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes

Question 2

What category is G0154 in?

Accepted Answer

G0154 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0154?

Accepted Answer

Use G0154 when billing for hhcp-svs of rn,ea 15 min. 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 G0154 covered by Medicare?

Accepted Answer

Coverage for G0154 (Hhcp-svs of rn,ea 15 min) 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 G0154?

Accepted Answer

Documentation for G0154 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).