How To Use HCPCS Code G9235

HCPCS code G9235 describes the completion of all quality actions for the applicable measures in the general surgery measures group for a specific patient. This code indicates that the necessary quality actions have been performed to ensure the patient’s surgical care meets the required standards.

1. What is HCPCS G9235?

HCPCS code G9235 is used to indicate that all quality actions for the applicable measures in the general surgery measures group have been performed for a particular patient. It signifies that the necessary steps have been taken to ensure the patient’s surgical care meets the required standards.

2. Official Description

The official description of HCPCS code G9235 is “All quality actions for the applicable measures in the general surgery measures group have been performed for this patient.” The short description for this code is “Gs mg composite.”

3. Procedure

1. Review the patient’s medical records to determine the applicable measures in the general surgery measures group.
2. Ensure that all quality actions related to these measures have been completed for the patient.
3. Document the completion of these quality actions in the patient’s medical records.

4. When to use HCPCS code G9235

HCPCS code G9235 should be used when all quality actions for the applicable measures in the general surgery measures group have been performed for a specific patient. It indicates that the necessary steps have been taken to ensure the patient’s surgical care meets the required standards.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9235, healthcare providers need to ensure that the completion of all quality actions for the applicable measures in the general surgery measures group is properly documented in the patient’s medical records. This documentation should include details of the specific quality actions performed and the dates on which they were completed.

6. Historical Information and Code Maintenance

HCPCS code G9235 was added to the Healthcare Common Procedure Coding System on January 1, 2014. It has a termination date of December 31, 2016. The code has no maintenance actions associated with it, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

The coverage of HCPCS code G9235 may vary depending on the carrier’s judgment. It is important to consult with the specific insurance carrier or Medicare to determine the coverage and reimbursement policies for this code.

8. Examples

Here are some examples of when HCPCS code G9235 may be billed:

1. A patient undergoes general surgery, and all quality actions related to the applicable measures in the general surgery measures group have been completed.
2. A surgeon performs a procedure that falls within the general surgery measures group, and all necessary quality actions have been performed for the patient.
3. A patient’s surgical care is reviewed, and it is determined that all quality actions for the applicable measures in the general surgery measures group have been completed.
4. A healthcare provider ensures that all quality actions for the applicable measures in the general surgery measures group have been performed for a patient before submitting a claim for reimbursement.
5. A patient’s medical records clearly document the completion of all quality actions for the applicable measures in the general surgery measures group.