Question 1

What is HCPCS code G2102?

Accepted Answer

HCPCS code G2102 is "Dil retinal eye exam". Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed

Question 2

What category is G2102 in?

Accepted Answer

G2102 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2102?

Accepted Answer

Use G2102 when billing for dil retinal eye exam. 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 G2102 covered by Medicare?

Accepted Answer

Coverage for G2102 (Dil retinal eye exam) 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 G2102?

Accepted Answer

Documentation for G2102 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).