Question 1

What is HCPCS code G0058?

Accepted Answer

HCPCS code G0058 is "Imprv care le jnt repr mvp". Improving care for lower extremity joint repair mips value pathways

Question 2

What category is G0058 in?

Accepted Answer

G0058 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0058?

Accepted Answer

Use G0058 when billing for imprv care le jnt repr mvp. 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 G0058 covered by Medicare?

Accepted Answer

Coverage for G0058 (Imprv care le jnt repr mvp) 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 G0058?

Accepted Answer

Documentation for G0058 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).