Question 1

What is HCPCS code G0307?

Accepted Answer

HCPCS code G0307 is "Cbc without platelet". Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)

Question 2

What category is G0307 in?

Accepted Answer

G0307 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0307?

Accepted Answer

Use G0307 when billing for cbc without platelet. 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 G0307 covered by Medicare?

Accepted Answer

Coverage for G0307 (Cbc without platelet) 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 G0307?

Accepted Answer

Documentation for G0307 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).