Question 1

What is HCPCS code G9114?

Accepted Answer

HCPCS code G9114 is "Onc dx ovarian stg1a-b or 2". Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

Question 2

What category is G9114 in?

Accepted Answer

G9114 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9114?

Accepted Answer

Use G9114 when billing for onc dx ovarian stg1a-b or 2. 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 G9114 covered by Medicare?

Accepted Answer

Coverage for G9114 (Onc dx ovarian stg1a-b or 2) 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 G9114?

Accepted Answer

Documentation for G9114 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).