Question 1

What is HCPCS code G0565?

Accepted Answer

HCPCS code G0565 is "Rem/ins glu snsr 365 dif sit". Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation

Question 2

What category is G0565 in?

Accepted Answer

G0565 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0565?

Accepted Answer

Use G0565 when billing for rem/ins glu snsr 365 dif sit. 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 G0565 covered by Medicare?

Accepted Answer

Coverage for G0565 (Rem/ins glu snsr 365 dif sit) 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 G0565?

Accepted Answer

Documentation for G0565 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).