Forum - Questions & Answers

Jan 20th, 2010 - brown101 20 

Code G0365

I am looking for any information on G0365. I have been on CMS website and I cannot find info regarding this code. What are the guidelines and is there a LCD?? How would this code be appropriate to use? If there is a link to CMS please let me know.

Thanks for your help

Jan 20th, 2010 -

is this of help?

A new G-code, G0365 (vessel mapping of vessels for hemodialysis access, services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow), was created for use when patients have not had a prior hemodialysis access prosthetic graft or autogenous fistula. Reporting of this code is limited to two times per year and CMS will not permit separate payment for CPT® code 93971 when this G-code is billed, unless CPT® code 93971 is being performed for a separately identifiable indication in a different anatomic region. In addition, other imaging studies may not be billed for the same site on the same date of service unless an appropriate "KO" modifier, indicating the reason or need for the second imaging study, is provided on the claim form.

Sep 22nd, 2011 - kwillard 1 

re: is this of help?

Is there any documentation on whether or not this (G0365) is a unilateral vs bilateral procedure? We perform this bilaterally, but everything I read is states this is really only covered once? I do not see anything clearly stating whether or not this is unilateral or bilateral. Any help is greatly appreciated.

Sep 22nd, 2011 - mm2394 18 

re: is this of help?

The PFS classifies this procedure with a 0 bilateral code. A 0 code is defined as 0- Bilateral surgery payment rules do not apply, do NOT use modifier 50.

Jan 20th, 2010 - nmaguire   2,606 

G0365

https://www.highmarkmedicareservices.com/articles/mac-ab/a47801-r4.html



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