How To Use HCPCS Code G9620

HCPCS code G9620 describes the situation where a patient has not been screened for uterine malignancy or has not undergone any ultrasound or endometrial sampling, and the reason for not doing so is not given. This code is used to indicate that the necessary procedures for detecting uterine malignancy have not been performed, and the reason for not doing so is unspecified.

1. What is HCPCS G9620?

HCPCS code G9620 is a specific code used in medical coding to identify the situation where a patient has not been screened for uterine malignancy or has not undergone any ultrasound or endometrial sampling, and the reason for not doing so is not given. This code helps healthcare providers and insurance companies track and document instances where the necessary procedures for detecting uterine malignancy have not been performed.

2. Official Description

The official description of HCPCS code G9620 is “Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given.” The short description for this code is “No scr utr malig/us/samp rng.”

3. Procedure

  1. When using HCPCS code G9620, the healthcare provider should first assess the patient’s medical history and determine if the patient has been screened for uterine malignancy or has undergone any ultrasound or endometrial sampling.
  2. If the patient has not been screened or undergone the necessary procedures, the provider should document the reason for not doing so, if available.
  3. The provider should then assign HCPCS code G9620 to indicate that the patient has not been screened for uterine malignancy or has not had any ultrasound or endometrial sampling, and the reason for not doing so is not given.

4. When to use HCPCS code G9620

HCPCS code G9620 should be used when a patient has not been screened for uterine malignancy or has not undergone any ultrasound or endometrial sampling, and the reason for not doing so is not specified. This code is applicable when the necessary procedures for detecting uterine malignancy have not been performed, and the reason for not doing so is unknown or not documented.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9620, healthcare providers should ensure that the medical documentation clearly indicates that the patient has not been screened for uterine malignancy or has not had any ultrasound or endometrial sampling. The documentation should also state that the reason for not performing these procedures is not given or unknown.

6. Historical Information and Code Maintenance

HCPCS code G9620 was added to the Healthcare Common Procedure Coding System on January 01, 2016. It is important to note that this code is terminated as of December 31, 2022. The termination of a code means that it is no longer valid for use in medical coding and billing.

7. Medicare and Insurance Coverage

Medicare and other insurance companies may have specific coverage policies for HCPCS code G9620. It is important for healthcare providers to check with the respective payers to determine if this code is payable and to understand the pricing and reimbursement guidelines associated with it.

8. Examples

Here are some examples of scenarios where HCPCS code G9620 may be used:

  1. A patient visits a gynecologist for a routine check-up, but the necessary screening for uterine malignancy has not been performed, and the reason for not doing so is not documented.
  2. A patient presents with symptoms that may indicate uterine malignancy, but no ultrasound or endometrial sampling has been conducted, and the reason for not performing these procedures is unknown.
  3. A patient has a history of uterine malignancy but has not undergone any follow-up screenings, and the reason for not doing so is not specified.
  4. A patient is scheduled for a hysterectomy, but no pre-operative ultrasound or endometrial sampling has been performed, and the reason for not doing so is not given.
  5. A patient is referred for uterine malignancy screening, but the necessary procedures have not been conducted, and the reason for not performing them is not documented.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *