Question 1

What is HCPCS code G9353?

Accepted Answer

HCPCS code G9353 is "Medrsn >1 sinus ct w 90d dx". More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)

Question 2

What category is G9353 in?

Accepted Answer

G9353 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9353?

Accepted Answer

Use G9353 when billing for medrsn >1 sinus ct w 90d 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 G9353 covered by Medicare?

Accepted Answer

Coverage for G9353 (Medrsn >1 sinus ct w 90d 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 G9353?

Accepted Answer

Documentation for G9353 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).