Question 1

What is HCPCS code G0491?

Accepted Answer

HCPCS code G0491 is "Dialysis acu kidney no esrd". Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd

Question 2

What category is G0491 in?

Accepted Answer

G0491 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0491?

Accepted Answer

Use G0491 when billing for dialysis acu kidney no esrd. 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

Is G0491 covered by Medicare?

Accepted Answer

Coverage for G0491 (Dialysis acu kidney no esrd) 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 5

What documentation is required for G0491?

Accepted Answer

Documentation for G0491 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).