Question 1

What is HCPCS code G9350?

Accepted Answer

HCPCS code G9350 is "No doc sinus ct 28d or dx". Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis

Question 2

What category is G9350 in?

Accepted Answer

G9350 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9350?

Accepted Answer

Use G9350 when billing for no doc sinus ct 28d or dx. 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 G9350 covered by Medicare?

Accepted Answer

Coverage for G9350 (No doc sinus ct 28d or dx) 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 G9350?

Accepted Answer

Documentation for G9350 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).