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2025 HCPCS code G0496

Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.

This code is used for home health or hospice settings only. It is reported in 15-minute increments. If the service is less than 8 minutes, it is not billable.

The services must be medically necessary and ordered by a physician. The education provided should be directly related to the patient's condition and plan of care.

The LPN is responsible for assessing the patient and family's needs, providing instruction and demonstration, supervising practice, and evaluating competency in the skills taught. The LPN must document the education provided.

In simple words: An LPN comes to your home to teach you or your family how to take care of your medical needs. This could be anything from how to take your medications, how to change a bandage, or what to eat. The nurse spends at least 8 minutes with you, and each 15 minutes is billed as one unit.

This code covers the skilled services provided by a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) for training and educating a patient or their family member in a home health or hospice setting. The service is billed in 15-minute increments, with a minimum time of 8 minutes required for billing. The LPN educates the patient and family on managing the patient's condition at home, which may include self-care, medication management, safety precautions, nutrition, exercise, and hygiene.

Example 1: A patient recently discharged home after a stroke requires education on medication management and exercises to improve mobility. An LPN visits the home and provides this education., A family member caring for a loved one with Alzheimer's disease needs training on safety measures and techniques for managing challenging behaviors. An LPN visits the home and provides this training., A hospice patient requires assistance managing pain and other symptoms. An LPN provides education to the patient and family on managing medications and comfort measures.

Documentation should include the date and time of the visit, the total time spent providing education, specific topics covered, the patient or family member's response to the training, and an assessment of their competency in the skills taught.

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