Forum - Questions & Answers

Feb 18th, 2022 - surgicalcoder65 2 


Since CMS is for Medicare/Medicaid, does Medicaid use the same HCPCS codes instead of CPT codes as Medicare? For instance, the initial moderate sedation code for Medicare is G0500, but for commercial we use 99151/99152. Does Medicaid use the G0500 or the 99151/99152 CPT codes? TIA!Rich

Feb 23rd, 2022 - ChrisW   256  1 

re: G0500

It may be state-specific, I would suggest visiting your State Medicaid Website. Find-A-Code offers FREE Topic pages you will find helpful. There you can find Fee schedules, Claims/Billing, forms, and the Medicaid Provider page if the State has it available. 
G-Codes are used to identify professional health care procedures and services that would otherwise be coded in CPT-4 but for which there are no CPT-4 codes.

Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association