Q: What category is G9077 in?

G9077 belongs to HCPCS Category G (Procedures/Professional Services).

Q: When should I use HCPCS code G9077?

Use G9077 when billing for onc dx prostate t1no progres. 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.

Q: Is G9077 covered by Medicare?

Coverage for G9077 (Onc dx prostate t1no progres) 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.

Q: What documentation is required for G9077?

Documentation for G9077 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).

Question 1

What is HCPCS code G9077?

Accepted Answer

HCPCS code G9077 is "Onc dx prostate t1no progres". Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

Question 2

What category is G9077 in?

Accepted Answer

G9077 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9077?

Accepted Answer

Use G9077 when billing for onc dx prostate t1no progres. 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 G9077 covered by Medicare?

Accepted Answer

Coverage for G9077 (Onc dx prostate t1no progres) 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 G9077?

Accepted Answer

Documentation for G9077 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).