Question 1

What is HCPCS code G0567?

Accepted Answer

HCPCS code G0567 is "Screening hep c detect". Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique

Question 2

What category is G0567 in?

Accepted Answer

G0567 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0567?

Accepted Answer

Use G0567 when billing for screening hep c detect. 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 G0567 covered by Medicare?

Accepted Answer

Coverage for G0567 (Screening hep c detect) 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 G0567?

Accepted Answer

Documentation for G0567 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).