Question 1

What is HCPCS code G0089?

Accepted Answer

HCPCS code G0089 is "Adm subq drug 1st home visit". Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

Question 2

What category is G0089 in?

Accepted Answer

G0089 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0089?

Accepted Answer

Use G0089 when billing for adm subq drug 1st home visit. 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 G0089 covered by Medicare?

Accepted Answer

Coverage for G0089 (Adm subq drug 1st home visit) 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 G0089?

Accepted Answer

Documentation for G0089 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).