Question 1

What is HCPCS code G0175?

Accepted Answer

HCPCS code G0175 is "Opps service,sched team conf". Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Question 2

What category is G0175 in?

Accepted Answer

G0175 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0175?

Accepted Answer

Use G0175 when billing for opps service,sched team conf. 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 G0175 covered by Medicare?

Accepted Answer

Coverage for G0175 (Opps service,sched team conf) 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 G0175?

Accepted Answer

Documentation for G0175 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).