Question 1

What is HCPCS code G0155?

Accepted Answer

HCPCS code G0155 is "Hhcp-svs of csw,ea 15 min". Services of clinical social worker in home health or hospice settings, each 15 minutes

Question 2

What category is G0155 in?

Accepted Answer

G0155 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0155?

Accepted Answer

Use G0155 when billing for hhcp-svs of csw,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

What ICD-10 codes are commonly used with G0155?

Accepted Answer

Common ICD-10 diagnosis codes used with G0155 include: F03.90 (Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety), F03.911 (Unspecified dementia, unspecified severity, with agitation), F03.918 (Unspecified dementia, unspecified severity, with other behavioral disturbance), F03.92 (Unspecified dementia, unspecified severity, with psychotic disturbance). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0155 covered by Medicare?

Accepted Answer

Coverage for G0155 (Hhcp-svs of csw,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 6

What documentation is required for G0155?

Accepted Answer

Documentation for G0155 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).