Question 1

What is HCPCS code G0482?

Accepted Answer

HCPCS code G0482 is "Drug test def 15-21 classes". Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed

Question 2

What category is G0482 in?

Accepted Answer

G0482 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0482?

Accepted Answer

Use G0482 when billing for drug test def 15-21 classes. 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 G0482?

Accepted Answer

Common ICD-10 diagnosis codes used with G0482 include: E03.5 (Myxedema coma), E87.20 (Acidosis, unspecified), E87.21 (Acute metabolic acidosis), E87.22 (Chronic metabolic acidosis). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0482 covered by Medicare?

Accepted Answer

Coverage for G0482 (Drug test def 15-21 classes) 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 G0482?

Accepted Answer

Documentation for G0482 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).