Question 1

What is HCPCS code G9394?

Accepted Answer

HCPCS code G9394 is "Dx bipol, death, nhres, hosp". Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period

Question 2

What category is G9394 in?

Accepted Answer

G9394 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9394?

Accepted Answer

Use G9394 when billing for dx bipol, death, nhres, hosp. 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 G9394 covered by Medicare?

Accepted Answer

Coverage for G9394 (Dx bipol, death, nhres, hosp) 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 G9394?

Accepted Answer

Documentation for G9394 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).