Question 1

What is HCPCS code G0506?

Accepted Answer

HCPCS code G0506 is "Comp asses care plan ccm svc". Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)

Question 2

What category is G0506 in?

Accepted Answer

G0506 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0506?

Accepted Answer

Use G0506 when billing for comp asses care plan ccm svc. 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 G0506 covered by Medicare?

Accepted Answer

Coverage for G0506 (Comp asses care plan ccm svc) 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 G0506?

Accepted Answer

Documentation for G0506 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).