Question 1

What is HCPCS code G9605?

Accepted Answer

HCPCS code G9605 is "Surv score no improv w/tx". Patient survey score did not improve from baseline following treatment

Question 2

What category is G9605 in?

Accepted Answer

G9605 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9605?

Accepted Answer

Use G9605 when billing for surv score no improv w/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 G9605 covered by Medicare?

Accepted Answer

Coverage for G9605 (Surv score no improv w/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 G9605?

Accepted Answer

Documentation for G9605 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).