Question 1

What is HCPCS code G0471?

Accepted Answer

HCPCS code G0471 is "Ven blood coll snf/hha". Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)

Question 2

What category is G0471 in?

Accepted Answer

G0471 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0471?

Accepted Answer

Use G0471 when billing for ven blood coll snf/hha. 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 G0471 covered by Medicare?

Accepted Answer

Coverage for G0471 (Ven blood coll snf/hha) 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 G0471?

Accepted Answer

Documentation for G0471 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).