Question 1

What is HCPCS code G0239?

Accepted Answer

HCPCS code G0239 is "Oth resp proc, group". Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)

Question 2

What category is G0239 in?

Accepted Answer

G0239 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0239?

Accepted Answer

Use G0239 when billing for oth resp proc, group. 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 G0239?

Accepted Answer

Common ICD-10 diagnosis codes used with G0239 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 G0239 covered by Medicare?

Accepted Answer

Coverage for G0239 (Oth resp proc, group) 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 G0239?

Accepted Answer

Documentation for G0239 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).