Question 1

What is HCPCS code G0084?

Accepted Answer

HCPCS code G0084 is "Care man h v ext pt 60 m". Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Question 2

What category is G0084 in?

Accepted Answer

G0084 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0084?

Accepted Answer

Use G0084 when billing for care man h v ext pt 60 m. 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 G0084 covered by Medicare?

Accepted Answer

Coverage for G0084 (Care man h v ext pt 60 m) 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 G0084?

Accepted Answer

Documentation for G0084 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).