Question 1

What is HCPCS code G9921?

Accepted Answer

HCPCS code G9921 is "No or part scrn nd rng or os". No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified

Question 2

What category is G9921 in?

Accepted Answer

G9921 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9921?

Accepted Answer

Use G9921 when billing for no or part scrn nd rng or os. 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 G9921 covered by Medicare?

Accepted Answer

Coverage for G9921 (No or part scrn nd rng or os) 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 G9921?

Accepted Answer

Documentation for G9921 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).