How To Use HCPCS Code G9377

HCPCS code G9377 describes a specific situation where a patient did not have the retina attached after 6 months following only one surgery. This code is used to indicate the lack of successful attachment of the retina within the specified timeframe.

1. What is HCPCS G9377?

HCPCS code G9377 is a specific code used in medical coding to identify cases where a patient did not have the retina attached after 6 months following a single surgery. It is important to note that this code is only applicable in situations where the patient has undergone a surgical procedure to attach the retina, and the attachment has not been successful within the specified timeframe.

2. Official Description

The official description of HCPCS code G9377 is “Patient did not have the retina attached after 6 months following only one surgery.” This description accurately reflects the purpose and meaning of this code.

3. Procedure

1. The procedure for HCPCS code G9377 involves performing a surgical intervention to attach the retina.
2. The surgery should be performed by a qualified healthcare professional, such as an ophthalmologist or retina specialist.
3. During the surgery, the healthcare professional will carefully manipulate the retina and secure it in place using various techniques.
4. After the surgery, the patient’s progress should be closely monitored to assess the success of the retina attachment.
5. If, after 6 months, the retina is not successfully attached, HCPCS code G9377 should be used to indicate this outcome.

4. When to use HCPCS code G9377

HCPCS code G9377 should be used in cases where a patient has undergone a surgical procedure to attach the retina, but the attachment has not been successful after 6 months. It is important to note that this code is specific to situations where only one surgery has been performed and the retina remains unattached within the specified timeframe.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9377, healthcare providers should ensure that the necessary documentation is in place to support the use of this code. This may include surgical reports, progress notes, and any other relevant medical records that demonstrate the unsuccessful attachment of the retina after 6 months following a single surgery.

6. Historical Information and Code Maintenance

HCPCS code G9377 was added to the Healthcare Common Procedure Coding System on January 1, 2015. It has a termination date of December 31, 2015. This code is no longer active and should not be used for billing purposes after the termination date.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may have specific coverage policies for HCPCS code G9377. It is important to consult the respective payer’s guidelines to determine if this code is payable and the applicable reimbursement rates. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means that the value for this code is not established.

8. Examples

Here are some examples of scenarios where HCPCS code G9377 would be appropriate:

1. A patient undergoes retinal surgery to attach the retina, but after 6 months, the retina remains unattached.
2. Following a single surgery to attach the retina, the patient’s progress is monitored, and it is determined that the retina has not successfully attached within the specified timeframe.
3. Despite the surgical intervention, the patient’s retina remains detached after 6 months, indicating the need for HCPCS code G9377.
4. In a documented case, a patient’s retina fails to attach after a single surgery, and the lack of attachment is confirmed after 6 months.
5. After a surgical procedure to attach the retina, the patient’s progress is closely monitored, and it is determined that the retina has not successfully attached within the designated timeframe of 6 months.