Question 1

What is HCPCS code G0549?

Accepted Answer

HCPCS code G0549 is "Phone/inter for treat>31m". Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, including a verbal and written report to the patient's treating/requesting practitioner; 31 or more minutes of medical consultative discussion and review

Question 2

What category is G0549 in?

Accepted Answer

G0549 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0549?

Accepted Answer

Use G0549 when billing for phone/inter for treat>31m. 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 G0549 covered by Medicare?

Accepted Answer

Coverage for G0549 (Phone/inter for treat>31m) 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 G0549?

Accepted Answer

Documentation for G0549 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).