How To Use HCPCS Code G9279

HCPCS code G9279 describes a pneumococcal screening performed and documentation of vaccination received prior to discharge. This code is used to identify the specific service provided and is essential for accurate medical coding and billing.

1. What is HCPCS G9279?

HCPCS code G9279 is a specific code used in medical coding to identify a pneumococcal screening performed and documentation of vaccination received prior to discharge. This code is important for healthcare providers to accurately report the services provided to patients.

2. Official Description

The official description of HCPCS code G9279 is “Pneumococcal screening performed and documentation of vaccination received prior to discharge.” The short description for this code is “Pne scrn done doc vac done.”

3. Procedure

1. Perform a pneumococcal screening on the patient.
2. Document the results of the screening.
3. Verify if the patient has received the pneumococcal vaccination prior to discharge.
4. Document the vaccination status of the patient.

4. When to use HCPCS code G9279

HCPCS code G9279 should be used when a healthcare provider performs a pneumococcal screening on a patient and documents the vaccination received prior to discharge. This code is applicable in situations where the provider has conducted the screening and has evidence of the patient’s vaccination status.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9279, healthcare providers need to document the pneumococcal screening performed and the vaccination received prior to discharge. This documentation should include the results of the screening and the patient’s vaccination status. It is important to ensure accurate and complete documentation to support the billing of this code.

6. Historical Information and Code Maintenance

HCPCS code G9279 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

Medicare and other insurance providers may cover the services associated with HCPCS code G9279. However, the pricing indicator code for this code is 00, which means the service is not separately priced by Part B. This indicates that the service may be bundled or not covered separately. It is important for healthcare providers to verify coverage with the specific insurance provider.

8. Examples

Here are five examples of when HCPCS code G9279 should be billed:

1. A patient undergoes a pneumococcal screening during their hospital stay and the results are documented. The patient’s vaccination status is also documented prior to discharge.
2. A healthcare provider performs a pneumococcal screening on a patient in an outpatient setting and documents the vaccination received prior to discharge.
3. A patient is admitted to a long-term care facility and a pneumococcal screening is conducted. The results of the screening and the patient’s vaccination status are documented.
4. During a routine check-up, a healthcare provider performs a pneumococcal screening on a patient and documents the vaccination received prior to discharge.
5. A patient visits a clinic for a specific health concern and a pneumococcal screening is performed. The results of the screening and the patient’s vaccination status are documented.