Question 1

What is HCPCS code G9787?

Accepted Answer

HCPCS code G9787 is "Pt alive". Patient alive as of the last day of the measurement year

Question 2

What category is G9787 in?

Accepted Answer

G9787 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9787?

Accepted Answer

Use G9787 when billing for pt alive. 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 G9787 covered by Medicare?

Accepted Answer

Coverage for G9787 (Pt alive) 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 G9787?

Accepted Answer

Documentation for G9787 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).