CPT code G0463 will be reported by the physician when service renders at the hospital outpatient clinic visit for assessment and management of a patient. Summary In 2014, CMS proposed three new HCPCS G codes in OPPS (Outpatient Prospective Payment System) to substitute for five levels of evaluation and management settings. It includes one G…

A gradient compression stocking described by codes A6531 or A6532 or a non-elastic gradient compression wrap described by code A6545 is covered when it is used in the treatment of an open venous stasis ulcer. HCPCS Codes For Compression Stockings (A6531 & A6532) The CPT Code for compression stockings are A6531, A6532, and A6545 are…

G0446 can be used for face-to-face IBT for CVD and can be billed once a year. The description, medicare guidelines, and reimbursement can be found below. Description Of G0446 G0446 can be billed for face-to-face IBT for CVD and is defined as: “Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes” G0446 is…

G0442 and G0443 can be used to bill annual alcohol misuse. Both codes are billed in units of 15 minutes. CPT G0442 can be billed for alcohol misuse screening, and G0443 can be used to report brief face-to-face counseling for alcohol misuse. G0442 CPT G0442 can be billed for an annual alcohol misuse screening of…

Depression screening can be reported with the G0444 CPT code. The description of CPT code G0444, billing guidelines and place of services codes can be found below. G0444 CPT Code Description & Billing Guidelines Description Of G0444: This code can be used for annual depression screening. Report one code for every 15 minutes. The nationally…

CPT G0480, CPT G0481, CPT G0482 & CPT G0483 can be used to report definitive drug testing and the descriptions of the CPT codes can be found below. CPT Codes For Definitive Drug Testing Definitive Drug Testing (CPT G0480, CPT G0481, CPT G0482 & CPT G0483) is performed in a laboratory or by a provider…

Elastic bandages are those that contain fibers of rubber (latex, neoprene), spandex, or elastane. Roll bandages that do not contain these fibers are considered non-elastic bandages even though many of them (e.g., gauze bandages) are stretchable. HCPCS codes A6442-A6447 describe roll gauze-type bandages made either of cotton or of synthetic materials such as nylon, viscose,…

This article outlines the coding guidelines and descriptions of HCPCS Codes J3490 & J3590. HCPCS J3490 Description of J3490: Unclassified drug. HCPCS J3590 Description of J3590: Unclassified biologic. Billing Guidelines For HCPCS Codes J3490 & J3590 HCPCS J3490 (unclassified drug) and J3590 (unclassified biologic) are the HCPCS codes that are reported for medications that are…

“Off-the-shelf” (OTS) and custom-fit items are prefabricated braces for Medicare coding purposes. 42 CFR §414.402 establishes that correct coding of Ankle-foot orthoses (AFO) and knee-ankle foot orthoses (KAFO) items are dependent upon whether there is a need for “minimal self-adjustment” during the final fitting at the time of delivery. (See definitions below. If a custom…

Earlier Prolia injection was billed using HCPCS code either J3490 (Unclassified drugs) or J3590 (Unclassified biologics), but effective from January 1, 2012, a new HCPCS procedure code has been assigned to the drug denosumab (Prolia or Xgeva). Xgeva & Prolia Injection (CPT Code J0897) Description of J0897: Injection, denosumab, 1 mg The drug denosumab has two brand…