Question 1

What is HCPCS code G2093?

Accepted Answer

HCPCS code G2093 is "Med doc rsn no ace arn arni". Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons)

Question 2

What category is G2093 in?

Accepted Answer

G2093 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2093?

Accepted Answer

Use G2093 when billing for med doc rsn no ace arn arni. 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 G2093 covered by Medicare?

Accepted Answer

Coverage for G2093 (Med doc rsn no ace arn arni) 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 G2093?

Accepted Answer

Documentation for G2093 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).