Question 1

What is HCPCS code A9291?

Accepted Answer

HCPCS code A9291 is "Pres dig cog behav thera fda". Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment

Question 2

What category is A9291 in?

Accepted Answer

A9291 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9291?

Accepted Answer

Use A9291 when billing for pres dig cog behav thera fda. 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 A9291 covered by Medicare?

Accepted Answer

Coverage for A9291 (Pres dig cog behav thera fda) 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 A9291?

Accepted Answer

Documentation for A9291 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).