Question 1

What is HCPCS code G8702?

Accepted Answer

HCPCS code G8702 is "Antiobiotics 4 hr prior surg". Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively

Question 2

What category is G8702 in?

Accepted Answer

G8702 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8702?

Accepted Answer

Use G8702 when billing for antiobiotics 4 hr prior surg. 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 G8702 covered by Medicare?

Accepted Answer

Coverage for G8702 (Antiobiotics 4 hr prior surg) 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 G8702?

Accepted Answer

Documentation for G8702 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).