How To Use HCPCS Code G9325

HCPCS code G9325 describes a specific scenario in which CT studies are not reported to a radiation dose index registry due to medical reasons. This code is used for CT studies that are performed for radiation treatment planning or image-guided radiation treatment delivery. It is important for medical coders to understand the meaning and usage of this code in order to accurately document and bill for these services.

1. What is HCPCS G9325?

HCPCS code G9325 is a specific code used to identify CT studies that are not reported to a radiation dose index registry due to medical reasons. This code is applicable for CT studies that are performed for radiation treatment planning or image-guided radiation treatment delivery. It is important to note that this code was terminated on December 31, 2015, and is no longer in use.

2. Official Description

The official description of HCPCS code G9325 is “Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)”. The short description for this code is “Medrsn no ct rpt to reg”.

3. Procedure

1. When performing CT studies for radiation treatment planning or image-guided radiation treatment delivery, the provider should ensure that the studies are not reported to a radiation dose index registry due to medical reasons.
2. The provider should document the medical reasons for not reporting the CT studies to the registry.
3. It is important to follow any specific guidelines or eligibility criteria for using this code.

4. When to use HCPCS code G9325

HCPCS code G9325 should be used in the specific context of CT studies that are performed for radiation treatment planning or image-guided radiation treatment delivery. It is important to note that this code is no longer in use as it was terminated on December 31, 2015.

5. Billing Guidelines and Documentation Requirements

When billing for services using HCPCS code G9325, healthcare providers should ensure that the CT studies are not reported to a radiation dose index registry due to medical reasons. Documentation should include the medical reasons for not reporting the studies to the registry. It is important to follow any specific billing guidelines or requirements set forth by Medicare or other insurance providers.

6. Historical Information and Code Maintenance

HCPCS code G9325 was added to the Healthcare Common Procedure Coding System on January 01, 2014. It was terminated on December 31, 2015. 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 G9325 is not separately priced by Part B and is not applicable for Medicare coverage. The pricing indicator code for this code is 00, which means the service is not separately priced. It is important to check with individual insurance providers to determine coverage and pricing for this code.

8. Examples

Here are five examples of scenarios in which HCPCS code G9325 should be billed:

1. A patient undergoes a CT study for radiation treatment planning and the study is not reported to a radiation dose index registry due to medical reasons.
2. A patient receives image-guided radiation treatment and the CT study performed for treatment planning is not reported to a radiation dose index registry due to medical reasons.
3. A provider documents the medical reasons for not reporting a CT study to a radiation dose index registry when performing radiation treatment planning.
4. A patient undergoes a CT study for image-guided radiation treatment delivery and the study is not reported to a radiation dose index registry due to medical reasons.
5. A provider follows specific guidelines and eligibility criteria for using HCPCS code G9325 when performing CT studies for radiation treatment planning or image-guided radiation treatment delivery.