Question 1

What is HCPCS code G8749?

Accepted Answer

HCPCS code G8749 is "No signs melanoma". Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)

Question 2

What category is G8749 in?

Accepted Answer

G8749 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8749?

Accepted Answer

Use G8749 when billing for no signs melanoma. 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 G8749 covered by Medicare?

Accepted Answer

Coverage for G8749 (No signs melanoma) 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 G8749?

Accepted Answer

Documentation for G8749 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).