Q: What category is G9355 in?

G9355 belongs to HCPCS Category G (Procedures/Professional Services).

Q: When should I use HCPCS code G9355?

Use G9355 when billing for no early ind/delivery. 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.

Q: Is G9355 covered by Medicare?

Coverage for G9355 (No early ind/delivery) 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.

Q: What documentation is required for G9355?

Documentation for G9355 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).

Question 1

What is HCPCS code G9355?

Accepted Answer

HCPCS code G9355 is "No early ind/delivery". Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)

Question 2

What category is G9355 in?

Accepted Answer

G9355 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9355?

Accepted Answer

Use G9355 when billing for no early ind/delivery. 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 G9355 covered by Medicare?

Accepted Answer

Coverage for G9355 (No early ind/delivery) 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 G9355?

Accepted Answer

Documentation for G9355 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).