Question 1

What is HCPCS code G9343?

Accepted Answer

HCPCS code G9343 is "Medrsn no dicom srch". Due to medical reasons, search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)

Question 2

What category is G9343 in?

Accepted Answer

G9343 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9343?

Accepted Answer

Use G9343 when billing for medrsn no dicom srch. 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 G9343 covered by Medicare?

Accepted Answer

Coverage for G9343 (Medrsn no dicom srch) 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 G9343?

Accepted Answer

Documentation for G9343 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).