Question 1

What is HCPCS code G2077?

Accepted Answer

HCPCS code G2077 is "Periodic assessment". Periodic assessment; assessing periodically by an otp practitioner and includes a  review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code

Question 2

What category is G2077 in?

Accepted Answer

G2077 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2077?

Accepted Answer

Use G2077 when billing for periodic assessment. 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

What ICD-10 codes are commonly used with G2077?

Accepted Answer

Common ICD-10 diagnosis codes used with G2077 include: F11.10 (Opioid abuse, uncomplicated), F11.11 (Opioid abuse, in remission), F11.120 (Opioid abuse with intoxication, uncomplicated), F11.121 (Opioid abuse with intoxication delirium). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G2077 covered by Medicare?

Accepted Answer

Coverage for G2077 (Periodic assessment) 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 6

What documentation is required for G2077?

Accepted Answer

Documentation for G2077 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).