Question 1

What is HCPCS code G8872?

Accepted Answer

HCPCS code G8872 is "Intraop image confirm excise". Excised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion

Question 2

What category is G8872 in?

Accepted Answer

G8872 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8872?

Accepted Answer

Use G8872 when billing for intraop image confirm excise. 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 G8872 covered by Medicare?

Accepted Answer

Coverage for G8872 (Intraop image confirm excise) 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 G8872?

Accepted Answer

Documentation for G8872 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).