Question 1

What is HCPCS code G9890?

Accepted Answer

HCPCS code G9890 is "Em bridge payment". Bridge payment: a one-time payment for the first medicare diabetes prevention program (mdpp) core session, core maintenance session, or ongoing maintenance session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24 of the mdpp expanded model (em) who has previously received mdpp services from a different mdpp supplier under the mdpp expanded model.  a supplier may only receive one bridge payment per mdpp beneficiary

Question 2

What category is G9890 in?

Accepted Answer

G9890 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9890?

Accepted Answer

Use G9890 when billing for em bridge payment. 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 G9890 covered by Medicare?

Accepted Answer

Coverage for G9890 (Em bridge payment) 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 G9890?

Accepted Answer

Documentation for G9890 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).