Question 1

What is HCPCS code G0090?

Accepted Answer

HCPCS code G0090 is "Adm iv chemo 1st home visit". Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

Question 2

What category is G0090 in?

Accepted Answer

G0090 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0090?

Accepted Answer

Use G0090 when billing for adm iv chemo 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 G0090 covered by Medicare?

Accepted Answer

Coverage for G0090 (Adm iv chemo 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 G0090?

Accepted Answer

Documentation for G0090 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).