Question 1

What is HCPCS code G0283?

Accepted Answer

HCPCS code G0283 is "Elec stim other than wound". Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care

Question 2

What category is G0283 in?

Accepted Answer

G0283 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0283?

Accepted Answer

Use G0283 when billing for elec stim other than wound. 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

What ICD-10 codes are commonly used with G0283?

Accepted Answer

Common ICD-10 diagnosis codes used with G0283 include: A18.01 (Tuberculosis of spine), A18.02 (Tuberculous arthritis of other joints), A52.16 (Charcôt's arthropathy (tabetic)), B02.0 (Zoster encephalitis). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0283 covered by Medicare?

Accepted Answer

Coverage for G0283 (Elec stim other than wound) 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 6

What documentation is required for G0283?

Accepted Answer

Documentation for G0283 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).