Question 1

What is HCPCS code G0270?

Accepted Answer

HCPCS code G0270 is "Mnt subs tx for change dx". Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes

Question 2

What category is G0270 in?

Accepted Answer

G0270 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0270?

Accepted Answer

Use G0270 when billing for mnt subs tx for change dx. 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 G0270 covered by Medicare?

Accepted Answer

Coverage for G0270 (Mnt subs tx for change dx) 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 G0270?

Accepted Answer

Documentation for G0270 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).