How To Use HCPCS Code G8977

HCPCS code G8977 describes the oncology measures group. This code is used to report specific measures related to oncology care. In this article, we will explore the details of HCPCS code G8977, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G8977?

HCPCS code G8977 is a specific code used to identify the oncology measures group. It is used to report measures related to oncology care. This code is used to track and measure the quality of care provided to patients with oncology conditions.

2. Official Description

The official description of HCPCS code G8977 is “I intend to report the oncology measures group.” The short description for this code is “Oncology measures grp.”

3. Procedure

1. Explain the how the provider would do procedure of HCPCS G8977 step by step with a lot of details.

4. When to use HCPCS code G8977

HCPCS code G8977 should be used in the context of reporting the oncology measures group. It is typically used by healthcare providers who are participating in quality reporting programs or initiatives that require the reporting of specific measures related to oncology care. Providers should use this code when they intend to report the oncology measures group as part of their quality reporting requirements.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8977, healthcare providers need to ensure that they have appropriate documentation to support the reporting of the oncology measures group. This may include documentation of the specific measures being reported, as well as any relevant patient information or medical records. Providers should follow the billing guidelines set forth by the payer or reporting program to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8977 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It has an effective date of January 01, 2017. This code has a pricing indicator code of 00, which means that the service is not separately priced by Part B. It also has a multiple pricing indicator code of 9, indicating that the value for this code is not established. 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

Medicare and insurance coverage for HCPCS code G8977 may vary. Providers should check with the specific payer or insurance company to determine if this code is payable. The pricing indicator code of 00 indicates that the service is not separately priced by Part B, which may impact reimbursement. Providers should follow the guidelines and policies set forth by Medicare or other insurers when billing for this code.

8. Examples

Here are five examples of when HCPCS code G8977 should be billed:

1. Example 1: A healthcare provider participates in a quality reporting program and intends to report the oncology measures group for a patient with a diagnosed oncology condition.
2. Example 2: A hospital submits data to a cancer registry and includes the oncology measures group as part of the reporting requirements.
3. Example 3: A physician’s office participates in a research study focused on oncology care and uses HCPCS code G8977 to report the relevant measures.
4. Example 4: A healthcare organization is required to report on specific oncology measures as part of a quality improvement initiative and uses HCPCS code G8977 for reporting purposes.
5. Example 5: A healthcare provider is participating in a bundled payment program for oncology care and includes the oncology measures group in their reporting.