Question 1

What is HCPCS code G9399?

Accepted Answer

HCPCS code G9399 is "Doc disc tx choices". Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward the outcome of the treatment

Question 2

What category is G9399 in?

Accepted Answer

G9399 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9399?

Accepted Answer

Use G9399 when billing for doc disc tx choices. 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 G9399 covered by Medicare?

Accepted Answer

Coverage for G9399 (Doc disc tx choices) 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 G9399?

Accepted Answer

Documentation for G9399 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).