Question 1

What is HCPCS code G9620?

Accepted Answer

HCPCS code G9620 is "No scr utr malig/us/samp rng". Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given

Question 2

What category is G9620 in?

Accepted Answer

G9620 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9620?

Accepted Answer

Use G9620 when billing for no scr utr malig/us/samp rng. 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 G9620 covered by Medicare?

Accepted Answer

Coverage for G9620 (No scr utr malig/us/samp rng) 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 G9620?

Accepted Answer

Documentation for G9620 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).