How To Use HCPCS Code G9326

HCPCS code G9326 describes a specific scenario in which CT studies are performed but not reported to a radiation dose index registry that is capable of collecting all necessary data elements, with no reason given for this omission. This code is used to indicate that the CT studies were conducted without being reported to a registry that tracks radiation dose information.

1. What is HCPCS G9326?

HCPCS code G9326 is a specific code used in medical coding to identify CT studies that have been performed but not reported to a radiation dose index registry. It signifies that the necessary data elements required for reporting to the registry were not collected, and no reason was provided for this omission. This code helps healthcare providers and insurers track and document instances where CT studies were conducted without being reported to a radiation dose index registry.

2. Official Description

The official description of HCPCS code G9326 is “CT studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given.” The short description for this code is “Ct done no rad ds index, nrg.”

3. Procedure

1. When a healthcare provider performs a CT study, they should ensure that all necessary data elements are collected for reporting to a radiation dose index registry.
2. If, for some reason, the necessary data elements are not collected, the provider should use HCPCS code G9326 to indicate that the CT study was performed without reporting to a radiation dose index registry.
3. The provider should document the reason for not reporting to the registry, if known, in the patient’s medical record.

4. When to use HCPCS code G9326

HCPCS code G9326 should be used when a CT study has been performed, but the necessary data elements for reporting to a radiation dose index registry were not collected. This code indicates that the CT study was conducted without reporting to a registry that tracks radiation dose information. The reason for not reporting to the registry should be documented in the patient’s medical record, if known.

5. Billing Guidelines and Documentation Requirements

When billing for a CT study using HCPCS code G9326, healthcare providers should ensure that the reason for not reporting to the radiation dose index registry is documented in the patient’s medical record. This documentation is important for accurate coding and billing purposes. Additionally, any other relevant documentation related to the CT study should be maintained as per standard medical coding and billing guidelines.

6. Historical Information and Code Maintenance

HCPCS code G9326 was added to the Healthcare Common Procedure Coding System on January 1, 2014. It has a termination date of December 31, 2020. As of January 1, 2021, this code is no longer maintained. The termination of this code indicates that it is no longer valid for use in medical coding and billing.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code G9326 is determined by carrier judgment. This means that Medicare carriers have the discretion to decide whether to cover this code based on their own assessment of medical necessity and other relevant factors. The pricing indicator code for this code is 00, which indicates that it is not separately priced by Medicare Part B. The multiple pricing indicator code is 9, which means that the value for this code is not established. It is important for healthcare providers to check with Medicare and other insurance providers regarding coverage and reimbursement policies for HCPCS code G9326.

8. Examples

Here are five examples of scenarios in which HCPCS code G9326 should be billed:

1. A patient undergoes a CT study, but the necessary data elements for reporting to a radiation dose index registry are not collected, and no reason is provided for this omission.
2. A healthcare provider performs a CT study without reporting the radiation dose information to a registry due to technical issues with the registry system.
3. A patient undergoes a CT study, and the necessary data elements for reporting to a radiation dose index registry are not collected because the registry is not available or accessible at the time of the study.
4. A healthcare provider fails to report the radiation dose information from a CT study to a registry due to administrative errors or oversight.
5. A patient receives a CT study, and the necessary data elements for reporting to a radiation dose index registry are not collected because the provider is not aware of the reporting requirement.