Question 1

What is HCPCS code G9665?

Accepted Answer

HCPCS code G9665 is "No statin/no order statin". Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy

Question 2

What category is G9665 in?

Accepted Answer

G9665 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9665?

Accepted Answer

Use G9665 when billing for no statin/no order statin. 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 G9665 covered by Medicare?

Accepted Answer

Coverage for G9665 (No statin/no order statin) 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 G9665?

Accepted Answer

Documentation for G9665 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).