Question 1

What is HCPCS code G9658?

Accepted Answer

HCPCS code G9658 is "Toc tool incl elem not used". A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used

Question 2

What category is G9658 in?

Accepted Answer

G9658 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9658?

Accepted Answer

Use G9658 when billing for toc tool incl elem not used. 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 G9658 covered by Medicare?

Accepted Answer

Coverage for G9658 (Toc tool incl elem not used) 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 G9658?

Accepted Answer

Documentation for G9658 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).