Question 1

What is HCPCS code G0186?

Accepted Answer

HCPCS code G0186 is "Dstry eye lesn,fdr vssl tech". Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Question 2

What category is G0186 in?

Accepted Answer

G0186 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0186?

Accepted Answer

Use G0186 when billing for dstry eye lesn,fdr vssl tech. 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 G0186 covered by Medicare?

Accepted Answer

Coverage for G0186 (Dstry eye lesn,fdr vssl tech) 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 G0186?

Accepted Answer

Documentation for G0186 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).