Question 1

What is HCPCS code G9646?

Accepted Answer

HCPCS code G9646 is "Pt w/90d mrs 0-2". Patients with 90 day mrs score of 0 to 2

Question 2

What category is G9646 in?

Accepted Answer

G9646 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9646?

Accepted Answer

Use G9646 when billing for pt w/90d mrs 0-2. 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 G9646 covered by Medicare?

Accepted Answer

Coverage for G9646 (Pt w/90d mrs 0-2) 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 G9646?

Accepted Answer

Documentation for G9646 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).