Question 1

What is HCPCS code G0379?

Accepted Answer

HCPCS code G0379 is "Direct refer hospital observ". Direct admission of patient for hospital observation care

Question 2

What category is G0379 in?

Accepted Answer

G0379 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0379?

Accepted Answer

Use G0379 when billing for direct refer hospital observ. 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 G0379 covered by Medicare?

Accepted Answer

Coverage for G0379 (Direct refer hospital observ) 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 G0379?

Accepted Answer

Documentation for G0379 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).