Question 1

What is HCPCS code G8395?

Accepted Answer

HCPCS code G8395 is "Lvef>=40% doc normal or mild". Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function

Question 2

What category is G8395 in?

Accepted Answer

G8395 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8395?

Accepted Answer

Use G8395 when billing for lvef>=40% doc normal or mild. 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 G8395 covered by Medicare?

Accepted Answer

Coverage for G8395 (Lvef>=40% doc normal or mild) 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 G8395?

Accepted Answer

Documentation for G8395 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).