Question 1

What is HCPCS code G9870?

Accepted Answer

HCPCS code G9870 is "Cmmi asyntelehealth >20min". Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes

Question 2

What category is G9870 in?

Accepted Answer

G9870 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9870?

Accepted Answer

Use G9870 when billing for cmmi asyntelehealth >20min. 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 G9870 covered by Medicare?

Accepted Answer

Coverage for G9870 (Cmmi asyntelehealth >20min) 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 G9870?

Accepted Answer

Documentation for G9870 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).