How To Use HCPCS Code G9236

HCPCS code G9236 describes the completion of all quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group for a specific patient. This code is used to indicate that the necessary steps have been taken to ensure the patient’s exposure to ionizing radiation is optimized and within safe limits.

1. What is HCPCS G9236?

HCPCS code G9236 is a specific code used in medical coding to identify the completion of all quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group. It signifies that the necessary steps have been taken to ensure the patient’s exposure to ionizing radiation is optimized and within safe limits.

2. Official Description

The official description of HCPCS code G9236 is “All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient.” The short description for this code is “Op rad mg composite.”

3. Procedure

1. The provider must review the applicable measures in the optimizing patient exposure to ionizing radiation measures group.
2. They must perform all the necessary quality actions specified in the measures to optimize the patient’s exposure to ionizing radiation.
3. The provider should document the completion of these quality actions in the patient’s medical record.

4. When to use HCPCS code G9236

HCPCS code G9236 should be used when all quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for a specific patient. It indicates that the necessary steps have been taken to optimize the patient’s exposure to ionizing radiation and ensure their safety.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9236, healthcare providers should ensure that the completion of all quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group is clearly documented in the patient’s medical record. This documentation should include details of the specific quality actions performed and any relevant supporting information.

6. Historical Information and Code Maintenance

HCPCS code G9236 was added to the Healthcare Common Procedure Coding System on January 01, 2014. It has an effective date of January 01, 2017. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It was terminated on December 31, 2016.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the use of HCPCS code G9236, but the coverage may vary depending on the specific policies and guidelines of each provider. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. The multiple pricing indicator code is 9, which indicates that the code is not applicable for separate pricing by Part B or the value is not established.

8. Examples

Here are some examples of when HCPCS code G9236 should be billed:

1. A patient undergoes a series of diagnostic imaging procedures involving ionizing radiation. The provider completes all the necessary quality actions to optimize the patient’s exposure to radiation and documents the completion of these actions using HCPCS code G9236.
2. A radiation oncologist treats a patient with radiation therapy. Throughout the course of treatment, the provider ensures that all quality actions for optimizing patient exposure to ionizing radiation are performed and documents the completion using HCPCS code G9236.
3. A radiologist reviews a patient’s imaging studies and determines that additional imaging is necessary. Before ordering the additional imaging, the provider ensures that all quality actions for optimizing patient exposure to ionizing radiation are completed and documents the completion using HCPCS code G9236.
4. A nuclear medicine technologist administers a radioactive tracer to a patient for a diagnostic procedure. The technologist follows all necessary quality actions to optimize the patient’s exposure to ionizing radiation and documents the completion using HCPCS code G9236.
5. A cardiologist performs a cardiac catheterization procedure on a patient. Throughout the procedure, the provider takes all necessary steps to optimize the patient’s exposure to ionizing radiation and documents the completion using HCPCS code G9236.