Question 1

What is HCPCS code G9562?

Accepted Answer

HCPCS code G9562 is "Foll-up eval q3mo opiod tx". Patients who had a follow-up evaluation conducted at least every three months during opioid therapy

Question 2

What category is G9562 in?

Accepted Answer

G9562 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9562?

Accepted Answer

Use G9562 when billing for foll-up eval q3mo opiod tx. 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 G9562 covered by Medicare?

Accepted Answer

Coverage for G9562 (Foll-up eval q3mo opiod tx) 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 G9562?

Accepted Answer

Documentation for G9562 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).