Question 1

What is HCPCS code G0237?

Accepted Answer

HCPCS code G0237 is "Therapeutic procd strg endur". Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)

Question 2

What category is G0237 in?

Accepted Answer

G0237 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0237?

Accepted Answer

Use G0237 when billing for therapeutic procd strg endur. 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 G0237?

Accepted Answer

Common ICD-10 diagnosis codes used with G0237 include: A15.0 (Tuberculosis of lung), A15.4 (Tuberculosis of intrathoracic lymph nodes), A15.5 (Tuberculosis of larynx, trachea and bronchus), A15.6 (Tuberculous pleurisy). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0237 covered by Medicare?

Accepted Answer

Coverage for G0237 (Therapeutic procd strg endur) 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 G0237?

Accepted Answer

Documentation for G0237 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).