Question 1

What is HCPCS code G8918?

Accepted Answer

HCPCS code G8918 is "Pt w/o preop order iv ab pro". Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis

Question 2

What category is G8918 in?

Accepted Answer

G8918 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8918?

Accepted Answer

Use G8918 when billing for pt w/o preop order iv ab pro. 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 G8918 covered by Medicare?

Accepted Answer

Coverage for G8918 (Pt w/o preop order iv ab pro) 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 G8918?

Accepted Answer

Documentation for G8918 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).