Question 1

What is HCPCS code P2038?

Accepted Answer

HCPCS code P2038 is "Blood mucoprotein". Mucoprotein, blood (seromucoid) (medical necessity procedure)

Question 2

What category is P2038 in?

Accepted Answer

P2038 belongs to HCPCS Category P (Pathology and Laboratory).

Question 3

When should I use HCPCS code P2038?

Accepted Answer

Use P2038 when billing for blood mucoprotein. 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 P2038 covered by Medicare?

Accepted Answer

Coverage for P2038 (Blood mucoprotein) 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 P2038?

Accepted Answer

Documentation for P2038 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).