Question 1

What is HCPCS code G9298?

Accepted Answer

HCPCS code G9298 is "Eval risk vte card 30d prior". Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)

Question 2

What category is G9298 in?

Accepted Answer

G9298 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9298?

Accepted Answer

Use G9298 when billing for eval risk vte card 30d prior. 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 G9298 covered by Medicare?

Accepted Answer

Coverage for G9298 (Eval risk vte card 30d prior) 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 G9298?

Accepted Answer

Documentation for G9298 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).