Question 1

What is HCPCS code G9652?

Accepted Answer

HCPCS code G9652 is "Pt tx sys bio med psori 6mth". Patient has been treated with a systemic or biologic medication for psoriasis for at least six months

Question 2

What category is G9652 in?

Accepted Answer

G9652 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9652?

Accepted Answer

Use G9652 when billing for pt tx sys bio med psori 6mth. 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 G9652 covered by Medicare?

Accepted Answer

Coverage for G9652 (Pt tx sys bio med psori 6mth) 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 G9652?

Accepted Answer

Documentation for G9652 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).