Q: What category is G0315 in?

G0315 belongs to HCPCS Category G (Procedures/Professional Services).

Q: When should I use HCPCS code G0315?

Use G0315 when billing for counsel immune <21 5-15 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.

Q: Is G0315 covered by Medicare?

Coverage for G0315 (Counsel immune <21 5-15 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.

Q: What documentation is required for G0315?

Documentation for G0315 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).

Question 1

What is HCPCS code G0315?

Accepted Answer

HCPCS code G0315 is "Counsel immune <21  5-15 m". Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)

Question 2

What category is G0315 in?

Accepted Answer

G0315 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0315?

Accepted Answer

Use G0315 when billing for counsel immune <21  5-15 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 G0315 covered by Medicare?

Accepted Answer

Coverage for G0315 (Counsel immune <21  5-15 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 G0315?

Accepted Answer

Documentation for G0315 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).