Question 1

What is HCPCS code G0162?

Accepted Answer

HCPCS code G0162 is "Hhc rn e&m plan svs, 15 min". Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)

Question 2

What category is G0162 in?

Accepted Answer

G0162 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0162?

Accepted Answer

Use G0162 when billing for hhc rn e&m plan svs, 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 G0162 covered by Medicare?

Accepted Answer

Coverage for G0162 (Hhc rn e&m plan svs, 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 G0162?

Accepted Answer

Documentation for G0162 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).