Question 1

What is HCPCS code G8964?

Accepted Answer

HCPCS code G8964 is "Csi any other than pci 2 yr". Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)

Question 2

What category is G8964 in?

Accepted Answer

G8964 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8964?

Accepted Answer

Use G8964 when billing for csi any other than pci 2 yr. 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 G8964 covered by Medicare?

Accepted Answer

Coverage for G8964 (Csi any other than pci 2 yr) 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 G8964?

Accepted Answer

Documentation for G8964 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).