How To Use HCPCS Code G6035

HCPCS code G6035 describes the assay of gold. This code is used to identify the laboratory procedure for measuring the levels of gold in a patient’s sample. It is important for medical coders to understand the specific details and guidelines associated with this code in order to accurately bill for this service.

1. What is HCPCS G6035?

HCPCS code G6035 is a specific code used to identify the assay of gold. It is used to measure the levels of gold in a patient’s sample. This code is typically used in a laboratory setting to determine the presence and quantity of gold in a patient’s body.

2. Official Description

The official description of HCPCS code G6035 is “Gold.” The short description for this code is “Assay of gold.” This description accurately reflects the purpose of the code, which is to identify the laboratory procedure for measuring gold levels in a patient’s sample.

3. Procedure

1. The provider begins the procedure by collecting a sample from the patient. This sample can be blood, urine, or any other appropriate specimen.
2. The collected sample is then sent to the laboratory for analysis.
3. In the laboratory, the sample undergoes a series of tests and processes to determine the levels of gold present.
4. The assay of gold involves using specialized equipment and techniques to accurately measure the quantity of gold in the sample.
5. Once the analysis is complete, the laboratory generates a report with the results of the assay.

4. When to use HCPCS code G6035

HCPCS code G6035 should be used when a healthcare provider performs an assay of gold to measure the levels of gold in a patient’s sample. This code is typically used in cases where the presence or quantity of gold is relevant to the patient’s diagnosis or treatment.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G6035, healthcare providers need to ensure that the following documentation is included:

• Medical records indicating the medical necessity for performing the assay of gold.
• A detailed report of the laboratory analysis, including the results of the assay.
• Any supporting documentation or justification for the use of this specific code.

6. Historical Information and Code Maintenance

HCPCS code G6035 was terminated on December 31, 2015. This means that it is no longer an active code and should not be used for billing purposes after this date. It is important for medical coders to stay updated on code changes and ensure that they are using the most current codes for accurate billing.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code G6035 is subject to carrier judgment. This means that Medicare will determine coverage based on their own guidelines and policies. It is important for healthcare providers to check with Medicare and other insurance carriers to determine coverage and reimbursement rates for this specific code.

8. Examples

Here are five examples of when HCPCS code G6035 should be billed:

1. A patient with a suspected gold allergy undergoes an assay of gold to confirm the presence of gold in their system.
2. A patient with a history of gold therapy requires regular monitoring of their gold levels to ensure proper dosage and treatment effectiveness.
3. A patient with a suspected gold poisoning undergoes an assay of gold to determine the extent of exposure and guide appropriate treatment.
4. A patient with a suspected gold sensitivity undergoes an assay of gold to assess their sensitivity levels and guide future treatment decisions.
5. A patient with a known gold implant undergoes an assay of gold to monitor the release and absorption of gold into their system.