How To Use HCPCS Code G8884

HCPCS code G8884 describes the clinician-documented reason that a patient’s biopsy results were not reviewed. This code is used to indicate that there was a specific reason why the biopsy results were not reviewed, which may impact the patient’s treatment plan and subsequent care.

1. What is HCPCS G8884?

HCPCS code G8884 is a specific code used in medical coding to identify the reason why a patient’s biopsy results were not reviewed. It provides important information to healthcare providers and insurance companies about the circumstances surrounding the non-review of biopsy results.

2. Official Description

The official description of HCPCS code G8884 is “Clinician documented reason that patient’s biopsy results were not reviewed.” The short description for this code is “Doc reas biopsy not review.”

3. Procedure

1. When using HCPCS code G8884, the healthcare provider must document the specific reason why the biopsy results were not reviewed.
2. This documentation should be detailed and provide a clear explanation for the non-review of the biopsy results.
3. The reason could be due to various factors such as technical issues with the laboratory, patient refusal, or other clinical circumstances.
4. It is important for the healthcare provider to accurately document the reason to ensure proper coding and billing.

4. When to use HCPCS code G8884

HCPCS code G8884 should be used when there is a documented reason why a patient’s biopsy results were not reviewed. This code is applicable in situations where the healthcare provider has made a conscious decision not to review the biopsy results due to a specific reason.

5. Billing Guidelines and Documentation Requirements

When billing for services using HCPCS code G8884, healthcare providers need to ensure that the reason for not reviewing the biopsy results is clearly documented in the patient’s medical record. This documentation should be detailed and specific to support the use of this code.

6. Historical Information and Code Maintenance

HCPCS code G8884 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It is important to note that this code is terminated as of December 31, 2023. Therefore, it should not be used for services provided after this termination date.

7. Medicare and Insurance Coverage

Medicare and other insurance companies may have specific coverage policies for HCPCS code G8884. It is important for healthcare providers to review these policies to determine if the service or supply associated with 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. The multiple pricing indicator code is 9, which means that the value for pricing this code is not established.

8. Examples

Here are some examples of when HCPCS code G8884 may be used:

1. A patient’s biopsy results were not reviewed due to technical issues with the laboratory’s equipment.
2. The patient refused to have their biopsy results reviewed by the healthcare provider.
3. There was a delay in receiving the biopsy results, and by the time they were available, the patient’s condition had changed, rendering the review unnecessary.
4. The healthcare provider determined that reviewing the biopsy results would not significantly impact the patient’s treatment plan.
5. Due to other clinical circumstances, the healthcare provider made a decision not to review the biopsy results.