Question 1

What is HCPCS code G0459?

Accepted Answer

HCPCS code G0459 is "Telehealth inpt pharm mgmt". Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy

Question 2

What category is G0459 in?

Accepted Answer

G0459 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0459?

Accepted Answer

Use G0459 when billing for telehealth inpt pharm mgmt. 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 G0459 covered by Medicare?

Accepted Answer

Coverage for G0459 (Telehealth inpt pharm mgmt) 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 G0459?

Accepted Answer

Documentation for G0459 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).