How To Use HCPCS Code G0908

HCPCS code G0908 describes the most recent hemoglobin (hgb) level being greater than 12.0 g/dl. This code is used to identify and document the hemoglobin level in a patient’s blood, which is an important indicator of their overall health and well-being. In this article, we will explore the details of HCPCS code G0908, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G0908?

HCPCS code G0908 is a specific code used in medical coding to indicate that a patient’s most recent hemoglobin level is greater than 12.0 g/dl. Hemoglobin is a protein found in red blood cells that carries oxygen throughout the body. Monitoring hemoglobin levels is important in assessing a patient’s overall health and diagnosing certain medical conditions.

2. Official Description

The official description of HCPCS code G0908 is “Most recent hemoglobin (hgb) level > 12.0 g/dl.” This description clearly states that this code is used to identify a hemoglobin level that exceeds 12.0 g/dl.

3. Procedure

1. Obtain the patient’s most recent hemoglobin test results.
2. Check the hemoglobin level indicated on the test results.
3. If the hemoglobin level is greater than 12.0 g/dl, assign HCPCS code G0908 to indicate the elevated hemoglobin level.

4. When to use HCPCS code G0908

HCPCS code G0908 should be used when a patient’s most recent hemoglobin level is greater than 12.0 g/dl. This code is typically used in medical coding and billing to document and track the hemoglobin levels of patients. It may be used in various medical settings, such as hospitals, clinics, and laboratories.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G0908, healthcare providers should ensure that the patient’s most recent hemoglobin test results are properly documented in the medical record. The documentation should include the date of the test, the hemoglobin level, and any relevant clinical information. This documentation is crucial for accurate coding and billing.

6. Historical Information and Code Maintenance

HCPCS code G0908 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It has an effective date of January 1, 2015. This code was terminated on December 31, 2014, which means it is no longer in use. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code G0908 may vary. It is important to check with the specific insurance provider to determine if this code is payable. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This could indicate that the service is not covered, bundled, or only used by Part A. The multiple pricing indicator code is 9, which means it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G0908 should be billed:

1. A patient undergoes a routine blood test, and their hemoglobin level is measured at 13.5 g/dl. HCPCS code G0908 should be assigned to indicate the elevated hemoglobin level.
2. A patient with a history of anemia has their hemoglobin level checked during a follow-up visit. The test results show a hemoglobin level of 12.8 g/dl. HCPCS code G0908 should be used to document the elevated hemoglobin level.
3. A pregnant patient undergoes a prenatal check-up, and their hemoglobin level is measured at 14.2 g/dl. HCPCS code G0908 should be assigned to indicate the elevated hemoglobin level.
4. A patient with a known hemoglobin disorder has their hemoglobin level monitored regularly. The most recent test results show a hemoglobin level of 12.5 g/dl. HCPCS code G0908 should be used to document the elevated hemoglobin level.
5. A patient with a history of chronic kidney disease has their hemoglobin level checked as part of their regular lab work. The test results indicate a hemoglobin level of 12.3 g/dl. HCPCS code G0908 should be assigned to indicate the elevated hemoglobin level.