Question 1

What is HCPCS code G0048?

Accepted Answer

HCPCS code G0048 is "Pall serv during meas". Patients who receive palliative care services any time during the intake period through the end of the measurement year

Question 2

What category is G0048 in?

Accepted Answer

G0048 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0048?

Accepted Answer

Use G0048 when billing for pall serv during meas. 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 G0048 covered by Medicare?

Accepted Answer

Coverage for G0048 (Pall serv during meas) 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 G0048?

Accepted Answer

Documentation for G0048 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).