Question 1

What is HCPCS code G0118?

Accepted Answer

HCPCS code G0118 is "Glaucoma scrn hgh risk direc". Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist

Question 2

What category is G0118 in?

Accepted Answer

G0118 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0118?

Accepted Answer

Use G0118 when billing for glaucoma scrn hgh risk direc. 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

What ICD-10 codes are commonly used with G0118?

Accepted Answer

Common ICD-10 diagnosis codes used with G0118 include: Z13.5 (Encounter for screening for eye and ear disorders). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0118 covered by Medicare?

Accepted Answer

Coverage for G0118 (Glaucoma scrn hgh risk direc) 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 6

What documentation is required for G0118?

Accepted Answer

Documentation for G0118 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).