Question 1

What is HCPCS code G0046?

Accepted Answer

HCPCS code G0046 is "No mrs 90 days post stk". Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention

Question 2

What category is G0046 in?

Accepted Answer

G0046 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0046?

Accepted Answer

Use G0046 when billing for no mrs 90 days post stk. 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 G0046 covered by Medicare?

Accepted Answer

Coverage for G0046 (No mrs 90 days post stk) 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 G0046?

Accepted Answer

Documentation for G0046 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).