How To Use HCPCS Code G9433

HCPCS code G9433 describes the occurrence of death in a permanent nursing home resident or an individual receiving hospice or palliative care during the measurement period. This code is used to identify and document the specific circumstances surrounding the patient’s death and is an important component of medical coding and billing processes.

1. What is HCPCS G9433?

HCPCS code G9433 is a specific code used in medical coding to indicate the occurrence of death in a permanent nursing home resident or an individual receiving hospice or palliative care. It is important to note that this code is only applicable if the patient passed away at any time during the measurement period.

2. Official Description

The official description of HCPCS code G9433 is “Death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement period.” The short description for this code is “Death, nhres, hospice.”

3. Procedure

1. When using HCPCS code G9433, the medical coder should ensure that the patient meets the criteria of being a permanent nursing home resident or receiving hospice or palliative care.
2. The coder should review the patient’s medical records and documentation to confirm the occurrence of death during the measurement period.
3. The coder should accurately assign HCPCS code G9433 to indicate the patient’s death in the coding system.

4. When to use HCPCS code G9433

HCPCS code G9433 should be used when documenting the death of a patient who meets the criteria of being a permanent nursing home resident or receiving hospice or palliative care. It is important to accurately capture this information for statistical and reporting purposes.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies related to HCPCS code G9433, healthcare providers need to ensure that the patient’s medical records contain sufficient documentation to support the use of this code. This may include:

• Confirmation of the patient’s status as a permanent nursing home resident or receiving hospice or palliative care.
• Documentation of the patient’s death during the measurement period.
• Any additional relevant information or medical history that may be required for accurate coding and billing.

6. Historical Information and Code Maintenance

HCPCS code G9433 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 maintained, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code G9433 is covered by Medicare and other insurance providers. However, it is important to review the specific coverage policies of each insurance company to ensure proper reimbursement. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. The multiple pricing indicator code is 9, indicating that the value is not established or applicable for separate pricing.

8. Examples

Here are five examples of when HCPCS code G9433 should be billed:

1. A patient who was a permanent nursing home resident passed away during the measurement period.
2. An individual receiving hospice care died within the specified measurement period.
3. A patient who was receiving palliative care passed away during the measurement period.
4. A permanent nursing home resident died, and the death occurred within the measurement period.
5. An individual receiving both hospice and palliative care passed away during the measurement period.