Question 1

What is HCPCS code G0251?

Accepted Answer

HCPCS code G0251 is "Linear acc based stero radio". Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment

Question 2

What category is G0251 in?

Accepted Answer

G0251 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0251?

Accepted Answer

Use G0251 when billing for linear acc based stero radio. 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 G0251 covered by Medicare?

Accepted Answer

Coverage for G0251 (Linear acc based stero radio) 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 G0251?

Accepted Answer

Documentation for G0251 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).