Question 1

What is HCPCS code G9608?

Accepted Answer

HCPCS code G9608 is "Intraop cyst eval not done". Intraoperative cystoscopy not performed to evaluate for lower tract injury

Question 2

What category is G9608 in?

Accepted Answer

G9608 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9608?

Accepted Answer

Use G9608 when billing for intraop cyst eval not done. 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 G9608 covered by Medicare?

Accepted Answer

Coverage for G9608 (Intraop cyst eval not done) 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 G9608?

Accepted Answer

Documentation for G9608 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).