Question 1

What is HCPCS code G9808?

Accepted Answer

HCPCS code G9808 is "Pt no asthm cont med mst per". Any patients who had no asthma controller medications dispensed during the measurement year

Question 2

What category is G9808 in?

Accepted Answer

G9808 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9808?

Accepted Answer

Use G9808 when billing for pt no asthm cont med mst per. 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 G9808 covered by Medicare?

Accepted Answer

Coverage for G9808 (Pt no asthm cont med mst per) 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 G9808?

Accepted Answer

Documentation for G9808 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).