Question 1

What is HCPCS code G0010?

Accepted Answer

HCPCS code G0010 is "Admin hepatitis b vaccine". Administration of hepatitis b vaccine

Question 2

What category is G0010 in?

Accepted Answer

G0010 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0010?

Accepted Answer

Use G0010 when billing for admin hepatitis b vaccine. 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

What ICD-10 codes are commonly used with G0010?

Accepted Answer

Common ICD-10 diagnosis codes used with G0010 include: Z20.3 (Contact with and (suspected) exposure to rabies), Z23 (Encounter for immunization). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0010 covered by Medicare?

Accepted Answer

Coverage for G0010 (Admin hepatitis b vaccine) 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 6

What documentation is required for G0010?

Accepted Answer

Documentation for G0010 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).