Question 1

What is HCPCS code G0473?

Accepted Answer

HCPCS code G0473 is "Group behave couns 2-10". Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes

Question 2

What category is G0473 in?

Accepted Answer

G0473 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0473?

Accepted Answer

Use G0473 when billing for group behave couns 2-10. 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 G0473 covered by Medicare?

Accepted Answer

Coverage for G0473 (Group behave couns 2-10) 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 G0473?

Accepted Answer

Documentation for G0473 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).