Question 1

What is HCPCS code G9411?

Accepted Answer

HCPCS code G9411 is "No admit w/in 180d req remov". Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision

Question 2

What category is G9411 in?

Accepted Answer

G9411 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9411?

Accepted Answer

Use G9411 when billing for no admit w/in 180d req remov. 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 G9411 covered by Medicare?

Accepted Answer

Coverage for G9411 (No admit w/in 180d req remov) 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 G9411?

Accepted Answer

Documentation for G9411 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).