Question 1

What is HCPCS code G9214?

Accepted Answer

HCPCS code G9214 is "Cd4 count documented". Cd4+ cell count or cd4+ cell percentage results documented

Question 2

What category is G9214 in?

Accepted Answer

G9214 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9214?

Accepted Answer

Use G9214 when billing for cd4 count documented. 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 G9214 covered by Medicare?

Accepted Answer

Coverage for G9214 (Cd4 count documented) 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 G9214?

Accepted Answer

Documentation for G9214 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).