Question 1

What is HCPCS code G9320?

Accepted Answer

HCPCS code G9320 is "Medrsn no std nomenclature". Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)

Question 2

What category is G9320 in?

Accepted Answer

G9320 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9320?

Accepted Answer

Use G9320 when billing for medrsn no std nomenclature. 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 G9320 covered by Medicare?

Accepted Answer

Coverage for G9320 (Medrsn no std nomenclature) 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 G9320?

Accepted Answer

Documentation for G9320 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).