S0255 Hospice refer visit nonmd
Also known as: hospice referral, hospice intake
Hospice referral visit by non-physician. Initial assessment and discussion of hospice care options conducted by nurse or social worker.
In Plain Language
hospice introduction; end-of-life care discussion
Clinical Context
Non-physician evaluation of potential hospice candidates, discussion of palliative care benefits, advance directives, and family education. Determines appropriateness for hospice enrollment.
RVU Information
CPT S0255 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0255?
CPT S0255 (Hospice refer visit nonmd) is a S Codes code. Hospice referral visit by non-physician. Initial assessment and discussion of hospice care options conducted by nurse or social worker.
Is S0255 covered by insurance?
S0255 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Non-physician evaluation of potential hospice candidates, discussion of palliative care benefits, advance directives, and family education. Determines appropriateness for hospice enrollment.
When is CPT S0255 used?
Non-physician evaluation of potential hospice candidates, discussion of palliative care benefits, advance directives, and family education. Determines appropriateness for hospice enrollment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.