Question 1

What is HCPCS code G9482?

Accepted Answer

HCPCS code G9482 is "Remote e/m new pt 20mins". Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination;  straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both.  usually, the presenting problem(s) are of low to moderate severity.  typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Question 2

What category is G9482 in?

Accepted Answer

G9482 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9482?

Accepted Answer

Use G9482 when billing for remote e/m new pt 20mins. 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 G9482 covered by Medicare?

Accepted Answer

Coverage for G9482 (Remote e/m new pt 20mins) 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 G9482?

Accepted Answer

Documentation for G9482 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).