Question 1

What is HCPCS code G1018?

Accepted Answer

HCPCS code G1018 is "Cdsm infinx". Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program

Question 2

What category is G1018 in?

Accepted Answer

G1018 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G1018?

Accepted Answer

Use G1018 when billing for cdsm infinx. 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 G1018 covered by Medicare?

Accepted Answer

Coverage for G1018 (Cdsm infinx) 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 G1018?

Accepted Answer

Documentation for G1018 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).