Question 1

What is HCPCS code G0448?

Accepted Answer

HCPCS code G0448 is "Place perm pacing cardiovert". Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing

Question 2

What category is G0448 in?

Accepted Answer

G0448 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0448?

Accepted Answer

Use G0448 when billing for place perm pacing cardiovert. 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 G0448?

Accepted Answer

Common ICD-10 diagnosis codes used with G0448 include: G90.01 (Carotid sinus syncope), I25.2 (Old myocardial infarction), I25.5 (Ischemic cardiomyopathy), I42.0 (Dilated cardiomyopathy). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0448 covered by Medicare?

Accepted Answer

Coverage for G0448 (Place perm pacing cardiovert) 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 G0448?

Accepted Answer

Documentation for G0448 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).