Question 1

What is HCPCS code G9345?

Accepted Answer

HCPCS code G9345 is "Follow up pulm nod". Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors

Question 2

What category is G9345 in?

Accepted Answer

G9345 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9345?

Accepted Answer

Use G9345 when billing for follow up pulm nod. 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 G9345 covered by Medicare?

Accepted Answer

Coverage for G9345 (Follow up pulm nod) 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 G9345?

Accepted Answer

Documentation for G9345 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).