Question 1

What is HCPCS code G9924?

Accepted Answer

HCPCS code G9924 is "Doc med rsn no scrn or recs". Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason)

Question 2

What category is G9924 in?

Accepted Answer

G9924 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9924?

Accepted Answer

Use G9924 when billing for doc med rsn no scrn or recs. 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 G9924 covered by Medicare?

Accepted Answer

Coverage for G9924 (Doc med rsn no scrn or recs) 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 G9924?

Accepted Answer

Documentation for G9924 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).