Question 1

What is HCPCS code G2095?

Accepted Answer

HCPCS code G2095 is "Sys rsn no ace arn arni". Documentation of system reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., other system reasons)

Question 2

What category is G2095 in?

Accepted Answer

G2095 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2095?

Accepted Answer

Use G2095 when billing for sys rsn no ace arn arni. 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 G2095 covered by Medicare?

Accepted Answer

Coverage for G2095 (Sys rsn no ace arn arni) 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 G2095?

Accepted Answer

Documentation for G2095 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).