Question 1

What is HCPCS code G9502?

Accepted Answer

HCPCS code G9502 is "Med reas no perf foot exam". Documentation of medical reason for not performing foot exam (i.e., patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period)

Question 2

What category is G9502 in?

Accepted Answer

G9502 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9502?

Accepted Answer

Use G9502 when billing for med reas no perf foot exam. 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 G9502 covered by Medicare?

Accepted Answer

Coverage for G9502 (Med reas no perf foot exam) 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 G9502?

Accepted Answer

Documentation for G9502 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).