Q: What category is G0910 in?

G0910 belongs to HCPCS Category G (Procedures/Professional Services).

Q: When should I use HCPCS code G0910?

Use G0910 when billing for hgb <= 12 g/dl. 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.

Q: Is G0910 covered by Medicare?

Coverage for G0910 (Hgb <= 12 g/dl) 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.

Q: What documentation is required for G0910?

Documentation for G0910 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).

Question 1

What is HCPCS code G0910?

Accepted Answer

HCPCS code G0910 is "Hgb <= 12 g/dl". Most recent hemoglobin level <= 12.0 g/dl

Question 2

What category is G0910 in?

Accepted Answer

G0910 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0910?

Accepted Answer

Use G0910 when billing for hgb <= 12 g/dl. 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 G0910 covered by Medicare?

Accepted Answer

Coverage for G0910 (Hgb <= 12 g/dl) 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 G0910?

Accepted Answer

Documentation for G0910 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).