How To Use HCPCS Code G2129

HCPCS code G2129 describes a specific procedure-related situation where blood pressure measurements are not taken during an outpatient visit. This code is used to identify instances where blood pressure readings were not obtained for patients receiving same day surgery, ambulatory service center visits, g.i. lab procedures, dialysis treatments, infusion center services, or chemotherapy sessions.

1. What is HCPCS G2129?

HCPCS code G2129 is used to indicate that blood pressure measurements were not taken during an outpatient visit. It is important to note that this code specifically pertains to the absence of blood pressure readings and should not be used for any other purpose.

2. Official Description

The official description of HCPCS code G2129 is “Procedure-related bp’s not taken during an outpatient visit.” The short description for this code is “No bp outpt.”

3. Procedure

1. During the outpatient visit, the healthcare provider does not measure the patient’s blood pressure.
2. The provider may proceed with the necessary procedure or treatment without obtaining blood pressure readings.
3. It is important for the provider to document the reason why blood pressure measurements were not taken.

4. When to use HCPCS code G2129

HCPCS code G2129 should be used when blood pressure measurements were not taken during an outpatient visit. This code is applicable in various outpatient settings, including same day surgery, ambulatory service centers, g.i. labs, dialysis facilities, infusion centers, and chemotherapy clinics.

5. Billing Guidelines and Documentation Requirements

When billing for services using HCPCS code G2129, healthcare providers should ensure that the absence of blood pressure measurements is clearly documented in the patient’s medical record. This documentation should include the reason why blood pressure readings were not obtained.

6. Historical Information and Code Maintenance

HCPCS code G2129 was added to the Healthcare Common Procedure Coding System on January 01, 2020. As of the effective date, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

The coverage and reimbursement for HCPCS code G2129 may vary depending on the payer. Medicare considers this code as a carrier judgment, denoted by the coverage code C. Other insurers may have their own guidelines and policies regarding the coverage and reimbursement of this specific procedure-related situation.

8. Examples

Here are five examples of scenarios where HCPCS code G2129 should be billed:

1. A patient undergoes a same day surgery procedure, but blood pressure measurements were not taken before or after the surgery.
2. An individual visits an ambulatory service center for a minor procedure, and blood pressure readings were not obtained during the visit.
3. A patient receives dialysis treatment, but blood pressure measurements were not taken during the session.
4. During an infusion center visit, blood pressure readings were not obtained for a patient receiving intravenous medication.
5. A patient undergoes a chemotherapy session, but blood pressure measurements were not taken before or after the treatment.