Question 1

What is HCPCS code G9963?

Accepted Answer

HCPCS code G9963 is "Embolization not doc separat". Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy

Question 2

What category is G9963 in?

Accepted Answer

G9963 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9963?

Accepted Answer

Use G9963 when billing for embolization not doc separat. 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 G9963 covered by Medicare?

Accepted Answer

Coverage for G9963 (Embolization not doc separat) 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 G9963?

Accepted Answer

Documentation for G9963 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).