How To Use HCPCS Code G9385
HCPCS code G9385 describes the documentation of patient reasons for not receiving annual screening for HCV infection. This code is used to indicate that the patient declined the screening or had other reasons for not receiving it. It falls under the category of medical care and is not separately priced by Part B.
1. What is HCPCS G9385?
HCPCS code G9385 is a specific code used in medical coding to identify the documentation of patient reasons for not receiving annual screening for HCV infection. It is important for healthcare providers to accurately document the patient’s reasons for not undergoing the screening process. This code helps in maintaining a comprehensive record of the patient’s healthcare history and decision-making process.
2. Official Description
The official description of HCPCS code G9385 is “Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)”. The short description is “Doc pt reas not rec hcv srn”. This description clearly indicates that this code is used to document the patient’s reasons for not receiving the annual screening for HCV infection.
3. Procedure
- When using HCPCS code G9385, the healthcare provider should thoroughly document the patient’s reasons for not receiving the annual screening for HCV infection.
- This documentation should include detailed information about why the patient declined the screening or any other reasons provided by the patient.
- The healthcare provider should ensure that the documentation is accurate, complete, and supports the medical necessity for not performing the screening.
- It is important to maintain patient confidentiality and adhere to HIPAA regulations while documenting the patient’s reasons.
4. When to use HCPCS code G9385
HCPCS code G9385 should be used when the patient has declined the annual screening for HCV infection or has provided other reasons for not receiving it. It is important for healthcare providers to accurately document the patient’s decision and reasons to ensure a comprehensive medical record.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code G9385, healthcare providers need to ensure that the documentation clearly supports the medical necessity for not performing the annual screening for HCV infection. The documentation should include the patient’s reasons, such as the patient’s refusal or any other specific reasons provided by the patient.
6. Historical Information and Code Maintenance
HCPCS code G9385 was added to the Healthcare Common Procedure Coding System on January 1, 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. It is important for medical coders to stay updated with any changes or revisions related to this code.
7. Medicare and Insurance Coverage
HCPCS code G9385 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. The multiple pricing indicator code is 9, indicating that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.
8. Examples
Here are some examples of when HCPCS code G9385 should be billed:
- A patient declines the annual screening for HCV infection and provides a written statement explaining their decision.
- A patient has a medical condition that contraindicates the HCV screening, and this is documented in their medical record.
- A patient is unable to undergo the screening due to financial constraints, and this is documented in their medical record.
- A patient has previously undergone the HCV screening and has tested negative, so the annual screening is not necessary.
- A patient has religious or personal beliefs that prevent them from undergoing the HCV screening, and this is documented in their medical record.
