Question 1

What is HCPCS code G2145?

Accepted Answer

HCPCS code G2145 is "Fsodi 6-20wk >22 or chg 30pt". Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points

Question 2

What category is G2145 in?

Accepted Answer

G2145 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2145?

Accepted Answer

Use G2145 when billing for fsodi 6-20wk >22 or chg 30pt. 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 G2145 covered by Medicare?

Accepted Answer

Coverage for G2145 (Fsodi 6-20wk >22 or chg 30pt) 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 G2145?

Accepted Answer

Documentation for G2145 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).