Question 1

What is HCPCS code G9932?

Accepted Answer

HCPCS code G9932 is "Doc pt rsn no tb scrn recrds". Documentation of patient reason(s) for not having records of negative or managed positive tb screen (e.g., patient does not return for mantoux (ppd) skin test evaluation)

Question 2

What category is G9932 in?

Accepted Answer

G9932 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9932?

Accepted Answer

Use G9932 when billing for doc pt rsn no tb scrn recrds. 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 G9932 covered by Medicare?

Accepted Answer

Coverage for G9932 (Doc pt rsn no tb scrn recrds) 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 G9932?

Accepted Answer

Documentation for G9932 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).