Question 1

What is HCPCS code G9664?

Accepted Answer

HCPCS code G9664 is "Taking statin or rec'd order". Patients who are currently statin therapy users or received an order (prescription) for statin therapy

Question 2

What category is G9664 in?

Accepted Answer

G9664 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9664?

Accepted Answer

Use G9664 when billing for taking statin or rec'd order. 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 G9664 covered by Medicare?

Accepted Answer

Coverage for G9664 (Taking statin or rec'd order) 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 G9664?

Accepted Answer

Documentation for G9664 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).