Question 1

What is HCPCS code G9891?

Accepted Answer

HCPCS code G9891 is "Em session reporting". Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em)  hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)

Question 2

What category is G9891 in?

Accepted Answer

G9891 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9891?

Accepted Answer

Use G9891 when billing for em session reporting. 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 G9891 covered by Medicare?

Accepted Answer

Coverage for G9891 (Em session reporting) 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 G9891?

Accepted Answer

Documentation for G9891 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).