Question 1

What is HCPCS code G2058?

Accepted Answer

HCPCS code G2058 is "Ccm add 20min". Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).

Question 2

What category is G2058 in?

Accepted Answer

G2058 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2058?

Accepted Answer

Use G2058 when billing for ccm add 20min. 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 G2058 covered by Medicare?

Accepted Answer

Coverage for G2058 (Ccm add 20min) 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 G2058?

Accepted Answer

Documentation for G2058 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).