Question 1

What is HCPCS code G8460?

Accepted Answer

HCPCS code G8460 is "Pt inelig rna no antvir tx". Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c

Question 2

What category is G8460 in?

Accepted Answer

G8460 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8460?

Accepted Answer

Use G8460 when billing for pt inelig rna no antvir tx. 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 G8460 covered by Medicare?

Accepted Answer

Coverage for G8460 (Pt inelig rna no antvir tx) 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 G8460?

Accepted Answer

Documentation for G8460 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).