Question 1

What is HCPCS code G9799?

Accepted Answer

HCPCS code G9799 is "Med disp evt indic hx asth". Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period

Question 2

What category is G9799 in?

Accepted Answer

G9799 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9799?

Accepted Answer

Use G9799 when billing for med disp evt indic hx asth. 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 G9799 covered by Medicare?

Accepted Answer

Coverage for G9799 (Med disp evt indic hx asth) 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 G9799?

Accepted Answer

Documentation for G9799 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).