How To Use HCPCS Code G9500

HCPCS code G9500 describes the documentation of radiation exposure indices in the final report for procedures that utilize fluoroscopy. This code is used to indicate that the healthcare provider has documented the radiation exposure indices during the procedure. In this article, we will explore the details of HCPCS code G9500, 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 G9500?

HCPCS code G9500 is used to identify the documentation of radiation exposure indices in the final report for procedures that involve the use of fluoroscopy. It indicates that the healthcare provider has recorded the radiation exposure indices during the procedure. This code is essential for tracking and monitoring the radiation exposure of patients during fluoroscopy procedures.

2. Official Description

The official description of HCPCS code G9500 is “Radiation exposure indices documented in final report for procedure using fluoroscopy.” The short description is “Rad expos ind/exp tm doc.” This description accurately reflects the purpose of this code, which is to document radiation exposure indices in the final report for procedures involving fluoroscopy.

3. Procedure

1. The healthcare provider performs the procedure using fluoroscopy.
2. During the procedure, the provider measures and records the radiation exposure indices.
3. After the procedure, the provider includes the documented radiation exposure indices in the final report.

It is crucial for the provider to accurately document the radiation exposure indices to ensure proper monitoring and assessment of the patient’s radiation exposure.

4. When to use HCPCS code G9500

HCPCS code G9500 should be used when the healthcare provider has documented the radiation exposure indices in the final report for a procedure that utilized fluoroscopy. This code is specific to procedures involving fluoroscopy and indicates that the provider has taken the necessary steps to measure and record the radiation exposure indices.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9500, healthcare providers need to ensure that the final report includes the documented radiation exposure indices. This documentation is crucial for accurate billing and proper monitoring of the patient’s radiation exposure. Providers should also follow any specific billing guidelines provided by Medicare or other insurance carriers to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G9500 was added to the Healthcare Common Procedure Coding System on January 01, 2016. As of January 01, 2023, 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 a pricing indicator code of 00, which means it 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.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code G9500 may vary. Providers should consult with Medicare and other insurance carriers to determine if this code is payable and how the service or supply is priced. The pricing indicator code of 00 indicates that the service is not separately priced by Part B, and the multiple pricing indicator code of 9 further supports that it is not applicable for separate pricing.

8. Examples

Here are five examples of when HCPCS code G9500 should be billed:

1. A patient undergoes a cardiac catheterization procedure with fluoroscopy, and the healthcare provider documents the radiation exposure indices in the final report.
2. A patient undergoes a gastrointestinal procedure with fluoroscopy, and the healthcare provider includes the recorded radiation exposure indices in the final report.
3. A patient undergoes a pain management procedure with fluoroscopy, and the provider ensures that the radiation exposure indices are documented in the final report.
4. A patient undergoes a urological procedure with fluoroscopy, and the healthcare provider accurately records the radiation exposure indices for inclusion in the final report.
5. A patient undergoes an orthopedic procedure with fluoroscopy, and the provider documents the radiation exposure indices to monitor the patient’s radiation exposure.