Question 1

What is HCPCS code G0365?

Accepted Answer

HCPCS code G0365 is "Vessel mapping hemo access". Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)

Question 2

What category is G0365 in?

Accepted Answer

G0365 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0365?

Accepted Answer

Use G0365 when billing for vessel mapping hemo access. 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 G0365 covered by Medicare?

Accepted Answer

Coverage for G0365 (Vessel mapping hemo access) 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 G0365?

Accepted Answer

Documentation for G0365 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).