Question 1

What is HCPCS code G2214?

Accepted Answer

HCPCS code G2214 is "Init/sub psych care m 1st 30". Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional

Question 2

What category is G2214 in?

Accepted Answer

G2214 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2214?

Accepted Answer

Use G2214 when billing for init/sub psych care m 1st 30. 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 G2214 covered by Medicare?

Accepted Answer

Coverage for G2214 (Init/sub psych care m 1st 30) 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 G2214?

Accepted Answer

Documentation for G2214 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).