Question 1

What is HCPCS code G8916?

Accepted Answer

HCPCS code G8916 is "Pt w iv ab given on time". Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time

Question 2

What category is G8916 in?

Accepted Answer

G8916 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8916?

Accepted Answer

Use G8916 when billing for pt w iv ab given on time. 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 G8916 covered by Medicare?

Accepted Answer

Coverage for G8916 (Pt w iv ab given on time) 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 G8916?

Accepted Answer

Documentation for G8916 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).