Question 1

What is HCPCS code G0364?

Accepted Answer

HCPCS code G0364 is "Bone marrow aspirate &biopsy". Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service

Question 2

What category is G0364 in?

Accepted Answer

G0364 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0364?

Accepted Answer

Use G0364 when billing for bone marrow aspirate &biopsy. 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 G0364 covered by Medicare?

Accepted Answer

Coverage for G0364 (Bone marrow aspirate &biopsy) 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 G0364?

Accepted Answer

Documentation for G0364 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).