Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.11
Billing for Social Work and Psychological Services in a CORF
100.11 - Billing for Social Work and Psychological Services in a CORF
(Rev. 2736, Issued: 06-28-13, Effective: 10-01-12, Implementation: 10-07-13)
The CORF providers shall only bill social work and psychological services with the
following HCPCS code:
G0409 – Social work and psychological services, directly relating to and/or the patient's
rehabilitation goals, each 15 minutes, face-to-face; individual (services provided
by a CORF-qualified social worker or psychologist in a CORF)
In addition, HCPCS code G0409 shall only be billed with revenue code 0569 or 0911.