Question 1

What is HCPCS code G9379?

Accepted Answer

HCPCS code G9379 is "No acheive flat ret 6mth". Patient did not achieve flat retinas six months post surgery

Question 2

What category is G9379 in?

Accepted Answer

G9379 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9379?

Accepted Answer

Use G9379 when billing for no acheive flat ret 6mth. 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 G9379 covered by Medicare?

Accepted Answer

Coverage for G9379 (No acheive flat ret 6mth) 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 G9379?

Accepted Answer

Documentation for G9379 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).