How To Use HCPCS Code G9228

HCPCS code G9228 describes the documentation of screening results for chlamydia, gonorrhea, and syphilis. This code is used when the results are present for all three screenings. In this article, we will explore the details of HCPCS code G9228, 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 G9228?

HCPCS code G9228 is used to identify the documentation of screening results for chlamydia, gonorrhea, and syphilis. It is important for healthcare providers to accurately report this code when all three screening results are present. This code helps in tracking and monitoring the prevalence of these sexually transmitted infections.

2. Official Description

The official description of HCPCS code G9228 is “Chlamydia, gonorrhea, and syphilis screening results documented (report when results are present for all of the 3 screenings).” The short description for this code is “Gc chl syp documented.”

3. Procedure

1. Healthcare providers should perform screening tests for chlamydia, gonorrhea, and syphilis on the patient.
2. Once the screening tests are completed, the provider should document the results for each of the three screenings.
3. If the results are positive or negative for all three screenings, HCPCS code G9228 should be reported.

4. When to use HCPCS code G9228

HCPCS code G9228 should be used when the healthcare provider has documented the screening results for chlamydia, gonorrhea, and syphilis, and all three screenings have results present. It is important to report this code accurately to ensure proper tracking and monitoring of these sexually transmitted infections.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9228, healthcare providers need to document the screening results for chlamydia, gonorrhea, and syphilis. The documentation should clearly indicate the presence of results for all three screenings. It is crucial to provide accurate and detailed information to support the use of this code.

6. Historical Information and Code Maintenance

HCPCS code G9228 was added to the Healthcare Common Procedure Coding System on January 01, 2014. 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 G9228 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. It may be bundled with other services or not covered separately. The multiple pricing indicator code is 9, which indicates that the value for this code is not established or not applicable as HCPCS is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G9228 should be billed:

1. A patient visits a healthcare clinic for routine screening. The provider performs chlamydia, gonorrhea, and syphilis screenings and documents the results for all three screenings. HCPCS code G9228 should be reported.
2. A pregnant patient undergoes prenatal care. As part of the routine prenatal screening, the provider performs chlamydia, gonorrhea, and syphilis screenings and documents the results for all three screenings. HCPCS code G9228 should be reported.
3. A patient presents with symptoms suggestive of sexually transmitted infections. The provider performs chlamydia, gonorrhea, and syphilis screenings and documents the results for all three screenings. HCPCS code G9228 should be reported.
4. A patient undergoes a comprehensive health check-up. As part of the preventive care, the provider performs chlamydia, gonorrhea, and syphilis screenings and documents the results for all three screenings. HCPCS code G9228 should be reported.
5. A patient is admitted to the hospital with a suspected sexually transmitted infection. The provider performs chlamydia, gonorrhea, and syphilis screenings and documents the results for all three screenings. HCPCS code G9228 should be reported.