Question 1

What is HCPCS code G9544?

Accepted Answer

HCPCS code G9544 is "No filt remov w/in 3mos plcm". Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement

Question 2

What category is G9544 in?

Accepted Answer

G9544 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9544?

Accepted Answer

Use G9544 when billing for no filt remov w/in 3mos plcm. 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 G9544 covered by Medicare?

Accepted Answer

Coverage for G9544 (No filt remov w/in 3mos plcm) 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 G9544?

Accepted Answer

Documentation for G9544 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).