Question 1

What is HCPCS code G9346?

Accepted Answer

HCPCS code G9346 is "No follow up pulm nod". Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)

Question 2

What category is G9346 in?

Accepted Answer

G9346 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9346?

Accepted Answer

Use G9346 when billing for no 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 G9346 covered by Medicare?

Accepted Answer

Coverage for G9346 (No 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 G9346?

Accepted Answer

Documentation for G9346 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).