Question 1

What is HCPCS code G0404?

Accepted Answer

HCPCS code G0404 is "Ekg tracing for initial prev". Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Question 2

What category is G0404 in?

Accepted Answer

G0404 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0404?

Accepted Answer

Use G0404 when billing for ekg tracing for initial prev. 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 G0404 covered by Medicare?

Accepted Answer

Coverage for G0404 (Ekg tracing for initial prev) 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 G0404?

Accepted Answer

Documentation for G0404 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).