Question 1

What is HCPCS code G0505?

Accepted Answer

HCPCS code G0505 is "Cog/func assessment  outpt". Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliary or rest home

Question 2

What category is G0505 in?

Accepted Answer

G0505 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0505?

Accepted Answer

Use G0505 when billing for cog/func assessment  outpt. 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 G0505 covered by Medicare?

Accepted Answer

Coverage for G0505 (Cog/func assessment  outpt) 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 G0505?

Accepted Answer

Documentation for G0505 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).