Question 1

What is HCPCS code G0453?

Accepted Answer

HCPCS code G0453 is "Cont intraop neuro monitor". Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)

Question 2

What category is G0453 in?

Accepted Answer

G0453 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0453?

Accepted Answer

Use G0453 when billing for cont intraop neuro monitor. 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

What ICD-10 codes are commonly used with G0453?

Accepted Answer

Common ICD-10 diagnosis codes used with G0453 include: A18.01 (Tuberculosis of spine), C41.2 (Malignant neoplasm of vertebral column), C70.0 (Malignant neoplasm of cerebral meninges), C70.1 (Malignant neoplasm of spinal meninges). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0453 covered by Medicare?

Accepted Answer

Coverage for G0453 (Cont intraop neuro monitor) 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 6

What documentation is required for G0453?

Accepted Answer

Documentation for G0453 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).