Question 1

What is HCPCS code G9748?

Accepted Answer

HCPCS code G9748 is "App transpl lvg kidney donor". Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant

Question 2

What category is G9748 in?

Accepted Answer

G9748 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9748?

Accepted Answer

Use G9748 when billing for app transpl lvg kidney donor. 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 G9748 covered by Medicare?

Accepted Answer

Coverage for G9748 (App transpl lvg kidney donor) 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 G9748?

Accepted Answer

Documentation for G9748 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).