Question 1

What is HCPCS code G0202?

Accepted Answer

HCPCS code G0202 is "Scr mammo bi incl cad". Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed

Question 2

What category is G0202 in?

Accepted Answer

G0202 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0202?

Accepted Answer

Use G0202 when billing for scr mammo bi incl cad. 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 G0202 covered by Medicare?

Accepted Answer

Coverage for G0202 (Scr mammo bi incl cad) 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 G0202?

Accepted Answer

Documentation for G0202 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).