How To Use HCPCS Code G8779
HCPCS code G8779 describes a diabetes screening test that was not performed, with the reason for non-performance not given. This code was terminated on December 31, 2014, and falls under the category of no diabetes screen. It is important for medical coders to understand the specific usage and guidelines for this code in order to accurately document and bill for this service.
1. What is HCPCS G8779?
HCPCS code G8779 is used to identify a diabetes screening test that was not performed, with the reason for non-performance not given. This code is specific to situations where a screening test for diabetes was expected to be performed, but for some reason, it was not carried out. It is important to note that this code does not provide any information about the reason for non-performance, and additional documentation may be required to explain the circumstances.
2. Official Description
The official description of HCPCS code G8779 is “Diabetes screening test not performed, reason not given.” This description clearly indicates that the code is used when a diabetes screening test was not conducted, and the reason for non-performance is not provided.
3. Procedure
- When using HCPCS code G8779, the healthcare provider should document the circumstances surrounding the non-performance of the diabetes screening test.
- The provider should clearly state the reason for not conducting the test, if known.
- It is important to ensure that all relevant information is accurately documented in the patient’s medical record.
4. When to use HCPCS code G8779
HCPCS code G8779 should be used in situations where a diabetes screening test was expected to be performed but was not carried out. This code is applicable when the reason for non-performance is not provided or unknown. It is important to accurately document the circumstances surrounding the non-performance to ensure proper coding and billing.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code G8779, healthcare providers should ensure that the medical documentation clearly supports the non-performance of the diabetes screening test. The documentation should include the reason for non-performance, if known, and any other relevant information. It is important to follow the specific billing guidelines and requirements of the payer to ensure accurate reimbursement.
6. Historical Information and Code Maintenance
HCPCS code G8779 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It was terminated on December 31, 2014. This code falls under the category of no diabetes screen, indicating that it is used when a diabetes screening test was not performed. The termination of this code means that it is no longer valid for use in medical coding and billing.
7. Medicare and Insurance Coverage
Medicare and other insurance coverage for HCPCS code G8779 may vary. It is important to consult the specific guidelines and policies of the payer to determine if this code is payable. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. This means that the service may be bundled or not covered by Medicare or other insurers.
8. Examples
Here are five examples of when HCPCS code G8779 should be billed:
- A patient was scheduled for a diabetes screening test but did not show up for the appointment. The reason for non-performance is unknown.
- A healthcare provider attempted to perform a diabetes screening test, but the patient refused to undergo the test. The reason for refusal is not provided.
- A patient was unable to undergo a diabetes screening test due to a medical emergency that required immediate attention. The reason for non-performance is documented in the medical record.
- A healthcare provider ordered a diabetes screening test, but the necessary equipment or supplies were not available at the time of the appointment. The reason for non-performance is documented.
- A patient was scheduled for a diabetes screening test, but the test was canceled due to inclement weather conditions. The reason for non-performance is documented.
