Question 1

What is HCPCS code G9396?

Accepted Answer

HCPCS code G9396 is "Ini phq9 >9 not assess". Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)

Question 2

What category is G9396 in?

Accepted Answer

G9396 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9396?

Accepted Answer

Use G9396 when billing for ini phq9 >9 not assess. 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 G9396 covered by Medicare?

Accepted Answer

Coverage for G9396 (Ini phq9 >9 not assess) 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 G9396?

Accepted Answer

Documentation for G9396 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).