Question 1

What is HCPCS code G9287?

Accepted Answer

HCPCS code G9287 is "No antibio w in 10d of sympt". Antibiotic regimen not prescribed within 10 days after onset of symptoms

Question 2

What category is G9287 in?

Accepted Answer

G9287 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9287?

Accepted Answer

Use G9287 when billing for no antibio w in 10d of sympt. 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 G9287 covered by Medicare?

Accepted Answer

Coverage for G9287 (No antibio w in 10d of sympt) 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 G9287?

Accepted Answer

Documentation for G9287 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).