Question 1

What is HCPCS code G0127?

Accepted Answer

HCPCS code G0127 is "Trim nail(s)". Trimming of dystrophic nails, any number

Question 2

What category is G0127 in?

Accepted Answer

G0127 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0127?

Accepted Answer

Use G0127 when billing for trim nail(s). 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 G0127?

Accepted Answer

Common ICD-10 diagnosis codes used with G0127 include: A30.0 (Indeterminate leprosy), A30.1 (Tuberculoid leprosy), A30.2 (Borderline tuberculoid leprosy), A30.3 (Borderline leprosy). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0127 covered by Medicare?

Accepted Answer

Coverage for G0127 (Trim nail(s)) 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 G0127?

Accepted Answer

Documentation for G0127 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).