Question 1

What is HCPCS code G0268?

Accepted Answer

HCPCS code G0268 is "Removal of impacted wax md". Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Question 2

What category is G0268 in?

Accepted Answer

G0268 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0268?

Accepted Answer

Use G0268 when billing for removal of impacted wax md. 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 G0268?

Accepted Answer

Common ICD-10 diagnosis codes used with G0268 include: H61.21 (Impacted cerumen, right ear), H61.22 (Impacted cerumen, left ear), H61.23 (Impacted cerumen, bilateral). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0268 covered by Medicare?

Accepted Answer

Coverage for G0268 (Removal of impacted wax md) 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 G0268?

Accepted Answer

Documentation for G0268 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).