How To Use HCPCS Code G9383

HCPCS code G9383 describes the screening for HCV infection that a patient has received within the 12 month reporting period. This code is used to identify and bill for this specific service. In this article, we will explore the details of HCPCS code G9383, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G9383?

HCPCS code G9383 is used to indicate that a patient has received screening for HCV infection within the 12 month reporting period. It is important to note that this code specifically refers to the screening for HCV infection and should not be used for any other purpose. The code G9383 is unique to this specific service and helps healthcare providers accurately document and bill for the screening.

2. Official Description

The official description of HCPCS code G9383 is “Patient received screening for HCV infection within the 12 month reporting period.” This description clearly states the purpose of the code and provides essential information about the service being performed.

3. Procedure

1. The screening for HCV infection typically involves collecting a blood sample from the patient.
2. The blood sample is then sent to a laboratory for testing.
3. The laboratory performs various tests to detect the presence of HCV infection in the patient’s blood.
4. Once the test results are available, they are reviewed and interpreted by a healthcare professional.
5. Based on the test results, the healthcare provider determines whether the patient has HCV infection or not.

It is important for healthcare providers to follow the specific procedure outlined above when using HCPCS code G9383 to ensure accurate documentation and billing.

4. When to use HCPCS code G9383

HCPCS code G9383 should be used when a patient has received screening for HCV infection within the 12 month reporting period. This code is applicable in situations where the healthcare provider has performed the necessary tests to detect the presence of HCV infection in the patient’s blood. It is important to note that this code should only be used for the specific purpose of screening for HCV infection and not for any other services or procedures.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9383, healthcare providers need to ensure that the necessary documentation is in place to support the claim. This may include:

• Documentation of the screening procedure performed
• Test results indicating the presence or absence of HCV infection
• Date of the screening
• Any relevant clinical notes or observations

It is important to accurately document and code the screening for HCV infection to ensure proper reimbursement and compliance with coding guidelines.

6. Historical Information and Code Maintenance

HCPCS code G9383 was added to the Healthcare Common Procedure Coding System on January 01, 2015. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its introduction and continues to be used for the purpose of screening for HCV infection.

7. Medicare and Insurance Coverage

HCPCS code G9383 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service is bundled or not covered separately. 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 review the specific reimbursement policies of Medicare and other insurance providers to understand the coverage and payment details for HCPCS code G9383.

8. Examples

Here are five examples of when HCPCS code G9383 should be billed:

1. A patient visits a primary care physician for a routine check-up. As part of the check-up, the physician orders a screening for HCV infection. The patient’s blood sample is collected and sent to a laboratory for testing. The test results indicate the absence of HCV infection. HCPCS code G9383 should be billed for this service.
2. A patient presents to an urgent care facility with symptoms suggestive of HCV infection. The healthcare provider performs a screening for HCV infection by collecting a blood sample and sending it to a laboratory for testing. The test results confirm the presence of HCV infection. HCPCS code G9383 should be billed for this service.
3. A patient undergoes a comprehensive annual physical examination. As part of the examination, the healthcare provider orders a screening for HCV infection. The patient’s blood sample is collected and sent to a laboratory for testing. The test results indicate the absence of HCV infection. HCPCS code G9383 should be billed for this service.
4. A patient with a history of intravenous drug use visits a substance abuse treatment center. As part of the intake process, the patient undergoes a screening for HCV infection. The screening involves collecting a blood sample and sending it to a laboratory for testing. The test results confirm the presence of HCV infection. HCPCS code G9383 should be billed for this service.
5. A patient presents to a gastroenterologist with symptoms suggestive of liver disease. The gastroenterologist orders a screening for HCV infection as part of the diagnostic workup. The patient’s blood sample is collected and sent to a laboratory for testing. The test results indicate the absence of HCV infection. HCPCS code G9383 should be billed for this service.