How To Use HCPCS Code G8913

HCPCS code G8913 describes a specific documentation requirement in the medical field. This code is used to indicate that a patient has been documented as not having experienced a wrong site, wrong side, wrong patient, wrong procedure, or wrong implant event. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for services provided.

1. What is HCPCS G8913?

HCPCS code G8913 is a unique code that is used to identify a specific documentation requirement. It indicates that a patient has been documented as not having experienced any of the specified wrong events, such as wrong site, wrong side, wrong patient, wrong procedure, or wrong implant. This code is important for ensuring patient safety and quality of care.

2. Official Description

The official description of HCPCS code G8913 is “Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event.” The short description for this code is “Pt doc no wrong event.” These descriptions accurately reflect the purpose and meaning of this code.

3. Procedure

1. When documenting the absence of wrong events, the healthcare provider should thoroughly review the patient’s medical records and ensure that all relevant information is documented.
2. The provider should document that appropriate measures were taken to prevent wrong events, such as verifying patient identity, confirming the correct procedure or implant, and marking the correct site or side.
3. If any potential wrong events were identified, the provider should document the actions taken to prevent them and any corrective measures implemented.
4. The documentation should be clear, concise, and include the date and time of the assessment.

4. When to use HCPCS code G8913

HCPCS code G8913 should be used when a patient has been documented as not having experienced any of the specified wrong events. This code is typically used in situations where there is a need to document the absence of wrong events, such as during quality assurance reviews or when reporting patient safety measures.

5. Billing Guidelines and Documentation Requirements

When billing for services using HCPCS code G8913, healthcare providers should ensure that the documentation supports the absence of wrong events. This may include providing detailed notes, reports, or other evidence that clearly demonstrate that the patient did not experience any of the specified wrong events.

6. Historical Information and Code Maintenance

HCPCS code G8913 was added to the Healthcare Common Procedure Coding System on April 01, 2012. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code remains relevant in the medical field as a documentation requirement for patient safety.

7. Medicare and Insurance Coverage

HCPCS code G8913 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service is either not covered, bundled, or used by Part A only. The multiple pricing indicator code is 9, which means that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G8913 should be billed:

1. A patient undergoes a surgical procedure and the healthcare provider documents that all necessary precautions were taken to prevent wrong events, and the patient did not experience any wrong events.
2. A healthcare facility conducts a quality assurance review and documents that no wrong events occurred during a specific time period.
3. A patient receives an implant, and the healthcare provider documents that the correct implant was used and no wrong events occurred during the procedure.
4. A healthcare provider performs a procedure on a patient’s right side and documents that all necessary measures were taken to ensure the correct side and no wrong events occurred.
5. A patient undergoes a diagnostic test, and the healthcare provider documents that the correct procedure was performed and no wrong events occurred.