Question 1

What is HCPCS code G2080?

Accepted Answer

HCPCS code G2080 is "Add 30 mins counsel". Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Question 2

What category is G2080 in?

Accepted Answer

G2080 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2080?

Accepted Answer

Use G2080 when billing for add 30 mins counsel. 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 G2080?

Accepted Answer

Common ICD-10 diagnosis codes used with G2080 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 G2080 covered by Medicare?

Accepted Answer

Coverage for G2080 (Add 30 mins counsel) 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 G2080?

Accepted Answer

Documentation for G2080 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).