Question 1

What is HCPCS code G9291?

Accepted Answer

HCPCS code G9291 is "Not nsm lung ca". Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos

Question 2

What category is G9291 in?

Accepted Answer

G9291 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9291?

Accepted Answer

Use G9291 when billing for not nsm lung ca. 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 G9291 covered by Medicare?

Accepted Answer

Coverage for G9291 (Not nsm lung ca) 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 G9291?

Accepted Answer

Documentation for G9291 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).