Question 1

What is HCPCS code G0476?

Accepted Answer

HCPCS code G0476 is "Hpv combo assay ca screen". Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test

Question 2

What category is G0476 in?

Accepted Answer

G0476 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0476?

Accepted Answer

Use G0476 when billing for hpv combo assay ca screen. 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 G0476 covered by Medicare?

Accepted Answer

Coverage for G0476 (Hpv combo assay ca screen) 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 G0476?

Accepted Answer

Documentation for G0476 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).