Question 1

What is HCPCS code G0269?

Accepted Answer

HCPCS code G0269 is "Occlusive device in vein art". Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)

Question 2

What category is G0269 in?

Accepted Answer

G0269 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0269?

Accepted Answer

Use G0269 when billing for occlusive device in vein art. 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 G0269?

Accepted Answer

Common ICD-10 diagnosis codes used with G0269 include: A18.84 (Tuberculosis of heart), A39.50 (Meningococcal carditis, unspecified), A39.51 (Meningococcal endocarditis), A39.52 (Meningococcal myocarditis). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0269 covered by Medicare?

Accepted Answer

Coverage for G0269 (Occlusive device in vein art) 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 G0269?

Accepted Answer

Documentation for G0269 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).