Question 1

What is HCPCS code G9349?

Accepted Answer

HCPCS code G9349 is "Ct within 28 days". Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis

Question 2

What category is G9349 in?

Accepted Answer

G9349 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9349?

Accepted Answer

Use G9349 when billing for ct within 28 days. 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 G9349 covered by Medicare?

Accepted Answer

Coverage for G9349 (Ct within 28 days) 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 G9349?

Accepted Answer

Documentation for G9349 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).