Question 1

What is HCPCS code G8810?

Accepted Answer

HCPCS code G8810 is "Doc reas no rh-immuno". Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)

Question 2

What category is G8810 in?

Accepted Answer

G8810 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8810?

Accepted Answer

Use G8810 when billing for doc reas no rh-immuno. 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 G8810 covered by Medicare?

Accepted Answer

Coverage for G8810 (Doc reas no rh-immuno) 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 G8810?

Accepted Answer

Documentation for G8810 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).