Question 1

What is HCPCS code G0164?

Accepted Answer

HCPCS code G0164 is "Hhc lis nurse train ea 15". Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes

Question 2

What category is G0164 in?

Accepted Answer

G0164 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0164?

Accepted Answer

Use G0164 when billing for hhc lis nurse train ea 15. 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 G0164 covered by Medicare?

Accepted Answer

Coverage for G0164 (Hhc lis nurse train ea 15) 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 G0164?

Accepted Answer

Documentation for G0164 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).