Question 1

What is HCPCS code G9266?

Accepted Answer

HCPCS code G9266 is "Norsn pt cath >=90d". Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access

Question 2

What category is G9266 in?

Accepted Answer

G9266 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9266?

Accepted Answer

Use G9266 when billing for norsn pt cath >=90d. 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 G9266 covered by Medicare?

Accepted Answer

Coverage for G9266 (Norsn pt cath >=90d) 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 G9266?

Accepted Answer

Documentation for G9266 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).