Question 1

What is HCPCS code G0512?

Accepted Answer

HCPCS code G0512 is "Cocm by rhc/fqhc 60 min mo". Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month

Question 2

What category is G0512 in?

Accepted Answer

G0512 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0512?

Accepted Answer

Use G0512 when billing for cocm by rhc/fqhc 60 min mo. 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 G0512 covered by Medicare?

Accepted Answer

Coverage for G0512 (Cocm by rhc/fqhc 60 min mo) 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 G0512?

Accepted Answer

Documentation for G0512 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).