Question 1

What is HCPCS code H0048?

Accepted Answer

HCPCS code H0048 is "Spec coll non-blood:a/d test". Alcohol and/or other drug testing: collection and handling only, specimens other than blood

Question 2

What category is H0048 in?

Accepted Answer

H0048 belongs to HCPCS Category H (Alcohol and Drug Abuse Treatment).

Question 3

When should I use HCPCS code H0048?

Accepted Answer

Use H0048 when billing for spec coll non-blood:a/d test. 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 H0048 covered by Medicare?

Accepted Answer

Coverage for H0048 (Spec coll non-blood:a/d test) 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 H0048?

Accepted Answer

Documentation for H0048 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).