Question 1

What is HCPCS code G8817?

Accepted Answer

HCPCS code G8817 is "Doc reas no statin med disch". Statin therapy not prescribed at discharge, reason not given

Question 2

What category is G8817 in?

Accepted Answer

G8817 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8817?

Accepted Answer

Use G8817 when billing for doc reas no statin med disch. 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 G8817 covered by Medicare?

Accepted Answer

Coverage for G8817 (Doc reas no statin med disch) 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 G8817?

Accepted Answer

Documentation for G8817 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).