Question 1

What is HCPCS code G0278?

Accepted Answer

HCPCS code G0278 is "Iliac art angio,cardiac cath". Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)

Question 2

What category is G0278 in?

Accepted Answer

G0278 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0278?

Accepted Answer

Use G0278 when billing for iliac art angio,cardiac cath. 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 G0278?

Accepted Answer

Common ICD-10 diagnosis codes used with G0278 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 G0278 covered by Medicare?

Accepted Answer

Coverage for G0278 (Iliac art angio,cardiac cath) 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 G0278?

Accepted Answer

Documentation for G0278 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).