Question 1

What is HCPCS code G9755?

Accepted Answer

HCPCS code G9755 is "Doc med rsn no fllw up". Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up, and source of recommendations (e.g., patients with unexplained fever, immunocompromised patients who are at risk for infection)

Question 2

What category is G9755 in?

Accepted Answer

G9755 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9755?

Accepted Answer

Use G9755 when billing for doc med rsn no fllw up. 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 G9755 covered by Medicare?

Accepted Answer

Coverage for G9755 (Doc med rsn no fllw up) 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 G9755?

Accepted Answer

Documentation for G9755 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).