Question 1

What is HCPCS code G0445?

Accepted Answer

HCPCS code G0445 is "High inten beh couns std 30m". High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes

Question 2

What category is G0445 in?

Accepted Answer

G0445 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0445?

Accepted Answer

Use G0445 when billing for high inten beh couns std 30m. 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 G0445 covered by Medicare?

Accepted Answer

Coverage for G0445 (High inten beh couns std 30m) 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 G0445?

Accepted Answer

Documentation for G0445 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).