Question 1

What is HCPCS code G0276?

Accepted Answer

HCPCS code G0276 is "Pild/placebo control clin tr". Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial

Question 2

What category is G0276 in?

Accepted Answer

G0276 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0276?

Accepted Answer

Use G0276 when billing for pild/placebo control clin tr. 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 G0276 covered by Medicare?

Accepted Answer

Coverage for G0276 (Pild/placebo control clin tr) 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 G0276?

Accepted Answer

Documentation for G0276 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).