Question 1

What is HCPCS code G0518?

Accepted Answer

HCPCS code G0518 is "Remove w insert drug implant". Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)

Question 2

What category is G0518 in?

Accepted Answer

G0518 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0518?

Accepted Answer

Use G0518 when billing for remove w insert drug implant. 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 G0518 covered by Medicare?

Accepted Answer

Coverage for G0518 (Remove w insert drug implant) 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 G0518?

Accepted Answer

Documentation for G0518 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).