How To Use HCPCS Code G0307

HCPCS code G0307 describes a complete automated complete blood count (CBC) without platelet count. This code is used to identify a specific laboratory test that measures the levels of various components in a patient’s blood, including hemoglobin, hematocrit, red blood cells, and white blood cells. However, it does not include the measurement of platelet count.

1. What is HCPCS G0307?

HCPCS code G0307 is a specific code that is used to identify a laboratory test known as a complete blood count (CBC) without platelet count. This test provides valuable information about a patient’s overall health and can help diagnose and monitor various medical conditions.

2. Official Description

The official description of HCPCS code G0307 is “Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)”. The short description is “Cbc without platelet”. This accurately reflects the purpose and scope of this specific laboratory test.

3. Procedure

1. The provider collects a blood sample from the patient.
2. The blood sample is sent to a laboratory for analysis.
3. The laboratory uses automated equipment to measure the levels of hemoglobin, hematocrit, red blood cells, and white blood cells in the blood sample.
4. The laboratory generates a report with the results of the CBC, excluding the platelet count.
5. The provider reviews the results and uses them to assess the patient’s health and make appropriate treatment decisions.

4. When to use HCPCS code G0307

HCPCS code G0307 should be used when a healthcare provider orders a complete blood count (CBC) without platelet count for a patient. This test may be ordered as part of a routine check-up, to monitor the progress of a medical condition, or to investigate specific symptoms or concerns.

5. Billing Guidelines and Documentation Requirements

When billing for the service represented by HCPCS code G0307, healthcare providers should ensure that the necessary documentation is in place. This may include the physician’s order for the test, the laboratory report with the results, and any relevant clinical notes or medical records. It is important to accurately code and document the service to support proper reimbursement and ensure compliance with coding and billing regulations.

6. Historical Information and Code Maintenance

HCPCS code G0307 was added to the Healthcare Common Procedure Coding System on January 01, 2004. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its inception.

7. Medicare and Insurance Coverage

HCPCS code G0307 is subject to national limitation amounts, as indicated by the pricing indicator code 21. This means that the price for this service is determined by a national fee schedule. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. Medicare and other insurance providers may cover the cost of this laboratory test when medically necessary and appropriately documented.

8. Examples

Here are five examples of when HCPCS code G0307 should be billed:

1. A patient with a history of anemia undergoes a CBC without platelet count to monitor their red blood cell and white blood cell levels.
2. A physician orders a CBC without platelet count for a patient with symptoms of fatigue and weakness to assess their overall blood cell counts.
3. A patient with a known blood disorder requires regular CBC monitoring without platelet count to manage their condition.
4. A patient with a suspected infection undergoes a CBC without platelet count to evaluate their white blood cell count.
5. A patient with a chronic illness undergoes a CBC without platelet count as part of their routine healthcare management.