Question 1

What is HCPCS code G9016?

Accepted Answer

HCPCS code G9016 is "Demo-smoking cessation coun". Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]

Question 2

What category is G9016 in?

Accepted Answer

G9016 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9016?

Accepted Answer

Use G9016 when billing for demo-smoking cessation coun. 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 G9016 covered by Medicare?

Accepted Answer

Coverage for G9016 (Demo-smoking cessation coun) 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 G9016?

Accepted Answer

Documentation for G9016 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).