Question 1

What is HCPCS code G9820?

Accepted Answer

HCPCS code G9820 is "Doc chlam scr test w/follow". Documentation of a chlamydia screening test with proper follow-up

Question 2

What category is G9820 in?

Accepted Answer

G9820 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9820?

Accepted Answer

Use G9820 when billing for doc chlam scr test w/follow. 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 G9820 covered by Medicare?

Accepted Answer

Coverage for G9820 (Doc chlam scr test w/follow) 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 G9820?

Accepted Answer

Documentation for G9820 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).