Medical Billing

G-codes are specialized codes in medical billing, crucial for capturing services and procedures that don’t fit traditional coding systems, particularly under Medicare. They are part of the HCPCS Level II codes and ensure accurate documentation and reimbursement for unique or emerging healthcare services. Introduction: Demystifying G-codes Medical billing operates on a complex interplay of codes like CPT, ICD, and HCPCS, each serving distinct purposes for documentation and reimbursement. The G-codes are a unique set, most relevant when billing to Medicare and Medicaid, designed to cover procedures lacking a standard CPT code or those mandated by federal programs. What Are G-codes? G-codes are five-character, alphanumeric codes that begin with “G” and are assigned to services not adequately described by CPT codes. They function as “extra codes” or placeholders for specific circumstances, such as new healthcare interventions, compliance programs, and federal requirements. These...