How To Use HCPCS Code G9014
HCPCS code G9014 describes the Esrd demo expanded bundle, which includes venous access and related services. This code is classified as a level II HCPCS code and falls under the category of non-covered services by Medicare. It was added to the Healthcare Common Procedure Coding System on July 01, 2004, with an effective date of the same day.
1. What is HCPCS G9014?
HCPCS code G9014 is used to identify the Esrd demo expanded bundle, which includes venous access and related services. This code is specific to the End-Stage Renal Disease (ESRD) demonstration program and is not covered by Medicare. It is important to note that this code is not applicable for regular Medicare claims and should only be used for billing purposes related to the ESRD demonstration program.
2. Official Description
The official description of HCPCS code G9014 is “Esrd demo expanded bundle including venous access and related services.” The short description for this code is “Esrd demo bundle-level ii.”
3. Procedure
- As HCPCS code G9014 is specific to the ESRD demonstration program, the procedure associated with this code involves providing an expanded bundle of services for patients with end-stage renal disease.
- This bundle includes venous access and related services, which may involve the placement and maintenance of venous access devices, such as central venous catheters or arteriovenous fistulas.
- Providers should follow the guidelines and requirements set forth by the ESRD demonstration program when performing and documenting the procedure associated with HCPCS code G9014.
4. When to use HCPCS code G9014
HCPCS code G9014 should only be used in the context of the ESRD demonstration program. It is important to verify the eligibility criteria and guidelines set by the program before using this code. Providers should ensure that the services provided are within the scope of the expanded bundle covered by the ESRD demonstration program.
5. Billing Guidelines and Documentation Requirements
When billing for services associated with HCPCS code G9014, healthcare providers need to ensure that the documentation supports the provision of the expanded bundle, including venous access and related services. This may include detailed notes on the placement and maintenance of venous access devices, as well as any other relevant services provided.
6. Historical Information and Code Maintenance
HCPCS code G9014 was added to the Healthcare Common Procedure Coding System on July 01, 2004. 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.
7. Medicare and Insurance Coverage
HCPCS code G9014 is classified as non-covered by Medicare. This means that Medicare does not provide reimbursement for services or supplies associated with this code. The pricing indicator code for HCPCS code G9014 is 00, which indicates that the service is not separately priced by Part B. Additionally, the multiple pricing indicator code is 9, which means that the value for this code is not established.
8. Examples
Here are five examples of when HCPCS code G9014 should be billed:
- A patient with end-stage renal disease receives venous access device placement and maintenance as part of the ESRD demonstration program.
- A healthcare provider performs venous access device placement and maintenance for a patient enrolled in the ESRD demonstration program.
- A patient with end-stage renal disease undergoes venous access device placement and maintenance, which is covered by the ESRD demonstration program.
- A healthcare provider bills for venous access device placement and maintenance services provided to a patient participating in the ESRD demonstration program.
- A patient enrolled in the ESRD demonstration program receives venous access device placement and maintenance as part of the expanded bundle of services.
