Question 1

What is HCPCS code G0281?

Accepted Answer

HCPCS code G0281 is "Elec stim unattend for press". Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care

Question 2

What category is G0281 in?

Accepted Answer

G0281 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0281?

Accepted Answer

Use G0281 when billing for elec stim unattend for press. 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 G0281?

Accepted Answer

Common ICD-10 diagnosis codes used with G0281 include: A18.01 (Tuberculosis of spine), A18.02 (Tuberculous arthritis of other joints), A48.0 (Gas gangrene), A52.16 (Charcôt's arthropathy (tabetic)). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0281 covered by Medicare?

Accepted Answer

Coverage for G0281 (Elec stim unattend for press) 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 G0281?

Accepted Answer

Documentation for G0281 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).