How To Use HCPCS Code G9382

HCPCS code G9382 describes a situation where a patient was not offered assistance with end of life issues or their existing end of life plan was not reviewed or updated during the measurement period. This code is used to indicate that the healthcare provider did not provide the necessary support and guidance to the patient regarding their end of life care.

1. What is HCPCS G9382?

HCPCS code G9382 is a specific code used in medical coding to identify the lack of assistance offered to a patient with end of life issues or the failure to review or update their existing end of life plan during the measurement period. It is important for healthcare providers to accurately report this code when documenting the patient’s care to ensure proper reimbursement and to track the quality of care provided.

2. Official Description

The official description of HCPCS code G9382 is “Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period.” The short description for this code is “No off assis eol.”

3. Procedure

1. The healthcare provider should assess the patient’s end of life needs and determine if assistance is required.
2. If assistance is needed, the provider should offer appropriate support and guidance to the patient, addressing any concerns or questions they may have.
3. The existing end of life plan, if one is in place, should be reviewed and updated as necessary to ensure it aligns with the patient’s current wishes and preferences.
4. Documentation should be made regarding the discussion and any actions taken to assist the patient with their end of life issues.

4. When to use HCPCS code G9382

HCPCS code G9382 should be used when a patient is not offered assistance with end of life issues or when their existing end of life plan is not reviewed or updated during the measurement period. This code indicates a gap in the patient’s care and highlights the need for improved communication and support in addressing end of life concerns.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9382, healthcare providers should ensure that the documentation clearly reflects the lack of assistance offered or the failure to review/update the patient’s end of life plan. This may include notes on discussions held, any educational materials provided, and any actions taken to address the patient’s concerns. It is important to accurately capture the details of the patient’s care to support proper reimbursement and to demonstrate the quality of care provided.

6. Historical Information and Code Maintenance

HCPCS code G9382 was added to the Healthcare Common Procedure Coding System on January 01, 2015. It has an action code of C, indicating a change in the long description of the procedure or modifier code. The action effective date is January 01, 2024. There have been no maintenance actions taken for this code, as indicated by the multiple pricing indicator code of 9, which means it is not applicable as HCPCS is not priced separately by Part B.

7. Medicare and Insurance Coverage

HCPCS code G9382 is not separately priced by Medicare or other insurers. It has a pricing indicator code of 00, which means it is not separately priced by Part B. This code is typically bundled or not covered by insurance plans, as it represents a failure to provide necessary assistance with end of life issues or review/update the patient’s end of life plan.

8. Examples

Here are five examples of when HCPCS code G9382 should be billed:

1. A patient with a terminal illness is not offered any assistance or guidance regarding their end of life care options.
2. A healthcare provider fails to review or update a patient’s existing end of life plan, despite changes in the patient’s condition or preferences.
3. A patient expresses concerns about their end of life care but is not provided with any support or resources to address their concerns.
4. A healthcare provider overlooks the need to discuss end of life issues with a patient, resulting in a missed opportunity for important conversations and planning.
5. A patient’s end of life plan is not reviewed or updated during the measurement period, leading to potential gaps in their care and unaddressed concerns.