Question 1

What is HCPCS code G0509?

Accepted Answer

HCPCS code G0509 is "Crit care telehea consult 50". Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth

Question 2

What category is G0509 in?

Accepted Answer

G0509 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0509?

Accepted Answer

Use G0509 when billing for crit care telehea consult 50. 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 G0509 covered by Medicare?

Accepted Answer

Coverage for G0509 (Crit care telehea consult 50) 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 G0509?

Accepted Answer

Documentation for G0509 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).