Question 1

What is HCPCS code G8860?

Accepted Answer

HCPCS code G8860 is "Corticosteroid 10 mg 60 days". Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days

Question 2

What category is G8860 in?

Accepted Answer

G8860 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8860?

Accepted Answer

Use G8860 when billing for corticosteroid 10 mg 60 days. 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 G8860 covered by Medicare?

Accepted Answer

Coverage for G8860 (Corticosteroid 10 mg 60 days) 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 G8860?

Accepted Answer

Documentation for G8860 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).