Question 1

What is HCPCS code G2025?

Accepted Answer

HCPCS code G2025 is "Dis site tele svcs rhc/fqhc". Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only

Question 2

What category is G2025 in?

Accepted Answer

G2025 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2025?

Accepted Answer

Use G2025 when billing for dis site tele svcs rhc/fqhc. 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 G2025 covered by Medicare?

Accepted Answer

Coverage for G2025 (Dis site tele svcs rhc/fqhc) 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 G2025?

Accepted Answer

Documentation for G2025 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).