How To Use HCPCS Code G9322

HCPCS code G9322 describes the count of previous CT and cardiac nuclear medicine (myocardial perfusion) studies that have not been documented in the 12-month period prior to the current study, with no reason given for the lack of documentation. This code is used to indicate the absence of documentation for the number of CT scans performed within the past year.

1. What is HCPCS G9322?

HCPCS code G9322 is used to identify the count of previous CT and cardiac nuclear medicine studies that have not been documented in the 12-month period prior to the current study, with no reason given for the lack of documentation. It is important for medical coders to accurately assign this code when there is no documentation available for the number of CT scans performed within the past year.

2. Official Description

The official description of HCPCS code G9322 is “Count of previous CT and cardiac nuclear medicine (myocardial perfusion) studies not documented in the 12-month period prior to the current study, reason not given.” The short description for this code is “No doc count of CT in 12mo.”

3. Procedure

1. The provider should review the patient’s medical records to determine if there are any previous CT and cardiac nuclear medicine studies documented within the 12-month period prior to the current study.
2. If there is no documentation available for the number of CT scans performed within the past year, the provider should assign HCPCS code G9322.
3. It is important for the provider to accurately document the reason for the lack of documentation for the previous CT and cardiac nuclear medicine studies.

4. When to use HCPCS code G9322

HCPCS code G9322 should be used when there is no documentation available for the number of CT scans performed within the 12-month period prior to the current study. This code indicates that the count of previous CT and cardiac nuclear medicine studies has not been documented, with no reason given for the lack of documentation.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9322, healthcare providers should ensure that there is proper documentation to support the absence of documentation for the previous CT and cardiac nuclear medicine studies. This documentation should clearly state the reason for the lack of documentation.

6. Historical Information and Code Maintenance

HCPCS code G9322 was added to the Healthcare Common Procedure Coding System on January 01, 2014. 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 G9322 is covered by Medicare. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. It is important for healthcare providers to verify coverage and reimbursement policies with Medicare or other insurance carriers.

8. Examples

Here are five examples of when HCPCS code G9322 should be billed:

1. A patient undergoes a cardiac nuclear medicine study, but there is no documentation available for any previous CT scans performed within the past year.
2. A patient undergoes a CT scan, but there is no documentation available for any previous cardiac nuclear medicine studies performed within the past year.
3. A patient undergoes both a CT scan and a cardiac nuclear medicine study, but there is no documentation available for the count of previous CT scans performed within the past year.
4. A patient undergoes multiple CT scans within the past year, but there is no documentation available for the count of previous cardiac nuclear medicine studies performed within the past year.
5. A patient undergoes multiple CT scans and cardiac nuclear medicine studies within the past year, but there is no documentation available for the count of either type of study.