Question 1

What is HCPCS code G0544?

Accepted Answer

HCPCS code G0544 is "Post d/c phone follow up". Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month

Question 2

What category is G0544 in?

Accepted Answer

G0544 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0544?

Accepted Answer

Use G0544 when billing for post d/c phone follow up. 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 G0544 covered by Medicare?

Accepted Answer

Coverage for G0544 (Post d/c phone follow up) 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 G0544?

Accepted Answer

Documentation for G0544 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).