Question 1

What is HCPCS code G9384?

Accepted Answer

HCPCS code G9384 is "Doc med rsn no hcv scrn". Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)

Question 2

What category is G9384 in?

Accepted Answer

G9384 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9384?

Accepted Answer

Use G9384 when billing for doc med rsn no hcv scrn. 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 G9384 covered by Medicare?

Accepted Answer

Coverage for G9384 (Doc med rsn no hcv scrn) 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 G9384?

Accepted Answer

Documentation for G9384 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).