Question 1

What is HCPCS code G0515?

Accepted Answer

HCPCS code G0515 is "Cognitive skills development". Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes

Question 2

What category is G0515 in?

Accepted Answer

G0515 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0515?

Accepted Answer

Use G0515 when billing for cognitive skills development. 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 G0515 covered by Medicare?

Accepted Answer

Coverage for G0515 (Cognitive skills development) 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 G0515?

Accepted Answer

Documentation for G0515 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).