Question 1

What is HCPCS code G8428?

Accepted Answer

HCPCS code G8428 is "Cur meds not document". Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given

Question 2

What category is G8428 in?

Accepted Answer

G8428 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8428?

Accepted Answer

Use G8428 when billing for cur meds not document. 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 G8428 covered by Medicare?

Accepted Answer

Coverage for G8428 (Cur meds not document) 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 G8428?

Accepted Answer

Documentation for G8428 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).