Question 1

What is HCPCS code G9018?

Accepted Answer

HCPCS code G9018 is "Zanamivir,inhalation pwd 10m". Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)

Question 2

What category is G9018 in?

Accepted Answer

G9018 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9018?

Accepted Answer

Use G9018 when billing for zanamivir,inhalation pwd 10m. 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 G9018 covered by Medicare?

Accepted Answer

Coverage for G9018 (Zanamivir,inhalation pwd 10m) 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 G9018?

Accepted Answer

Documentation for G9018 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).