How To Use HCPCS Code G9275

HCPCS code G9275 describes the documentation that a patient is a current non-tobacco user. This code is used to indicate that the patient does not use tobacco products, which can have a significant impact on their overall health and well-being. In this article, we will explore the details of HCPCS code G9275, including its official description, procedure, when to use it, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, as well as provide examples of when this code should be billed.

1. What is HCPCS G9275?

HCPCS code G9275 is used to document that a patient is a current non-tobacco user. This code is essential for healthcare providers to accurately record the patient’s tobacco usage status, as it can impact their treatment plans and overall health outcomes. By using this code, healthcare professionals can ensure that the patient’s non-tobacco user status is properly documented and taken into consideration during their care.

2. Official Description

The official description of HCPCS code G9275 is “Documentation that patient is a current non-tobacco user.” The short description for this code is “Doc of non-tobacco user.” These descriptions clearly indicate that the purpose of this code is to document the patient’s non-tobacco user status.

3. Procedure

1. When documenting HCPCS code G9275, the healthcare provider should ensure that the patient’s non-tobacco user status is accurately recorded in their medical records.
2. This documentation can be done through various means, such as patient self-reporting, medical history review, or laboratory tests.
3. The healthcare provider should clearly indicate in the patient’s records that they are a current non-tobacco user.
4. It is important for the provider to update this information regularly to reflect any changes in the patient’s tobacco usage status.

4. When to use HCPCS code G9275

HCPCS code G9275 should be used when the healthcare provider needs to document that the patient is a current non-tobacco user. This code is typically used in situations where the patient’s tobacco usage status is relevant to their healthcare management, such as in preventive care, treatment planning, or assessing the impact of tobacco use on their health outcomes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9275, healthcare providers need to ensure that the patient’s non-tobacco user status is properly documented in their medical records. This documentation should include the date of assessment, the method used to determine the patient’s tobacco usage status, and any relevant supporting information.

6. Historical Information and Code Maintenance

HCPCS code G9275 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. This code has been in use since its inception and continues to serve its purpose in documenting the patient’s non-tobacco user status.

7. Medicare and Insurance Coverage

HCPCS code G9275 is covered by Medicare and other insurance providers. However, it is important for healthcare providers to review the specific coverage policies of each payer to ensure proper reimbursement. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service is bundled or not covered by Medicare. The multiple pricing indicator code is 9, which means 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 G9275 should be billed:

1. A patient visits their primary care physician for a routine check-up. The physician documents that the patient is a non-tobacco user using HCPCS code G9275.
2. A surgeon performs a pre-operative evaluation on a patient scheduled for surgery. The surgeon includes the patient’s non-tobacco user status in the documentation using HCPCS code G9275.
3. A dentist sees a patient for a dental cleaning and notes in the patient’s record that they are a non-tobacco user using HCPCS code G9275.
4. A psychiatrist evaluates a patient with a history of substance abuse. The psychiatrist documents that the patient is currently a non-tobacco user using HCPCS code G9275.
5. A pulmonologist assesses a patient with respiratory issues and includes the patient’s non-tobacco user status in the medical records using HCPCS code G9275.