Question 1

What is HCPCS code G9647?

Accepted Answer

HCPCS code G9647 is "No mrs score in 90d followup". Patients in whom mrs score could not be obtained at 90 day follow-up

Question 2

What category is G9647 in?

Accepted Answer

G9647 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9647?

Accepted Answer

Use G9647 when billing for no mrs score in 90d followup. 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 G9647 covered by Medicare?

Accepted Answer

Coverage for G9647 (No mrs score in 90d followup) 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 G9647?

Accepted Answer

Documentation for G9647 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).