Question 1

What is HCPCS code G9378?

Accepted Answer

HCPCS code G9378 is "Contd ret attach f/u vis". Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)

Question 2

What category is G9378 in?

Accepted Answer

G9378 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9378?

Accepted Answer

Use G9378 when billing for contd ret attach f/u vis. 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 G9378 covered by Medicare?

Accepted Answer

Coverage for G9378 (Contd ret attach f/u vis) 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 G9378?

Accepted Answer

Documentation for G9378 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).