How To Use HCPCS Code G9627

HCPCS code G9627 describes the absence of bladder injury in a patient both during and up to 30 days after surgery. This code is used to indicate that the patient did not sustain any bladder injury during the surgical procedure or experience any bladder injury within the 30-day post-operative period. In this article, we will explore the details of HCPCS code G9627, 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 G9627?

HCPCS code G9627 is used to indicate that a patient did not sustain a bladder injury during surgery or within the 30-day post-operative period. This code is essential for accurate medical coding and billing, as it provides specific information about the absence of bladder injury in the patient’s medical record.

2. Official Description

The official description of HCPCS code G9627 is “Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery.” The short description for this code is “Pt no bl srg 30 day pst srg.”

3. Procedure

  1. During the surgical procedure, the healthcare provider should take necessary precautions to prevent any bladder injury.
  2. Post-surgery, the patient should be closely monitored for any signs or symptoms of bladder injury.
  3. If no bladder injury is identified during the surgery or within the 30-day post-operative period, HCPCS code G9627 should be assigned.

4. When to use HCPCS code G9627

HCPCS code G9627 should be used when the patient did not sustain any bladder injury during the surgical procedure or within the 30-day post-operative period. It is important to accurately document and code this information to reflect the absence of bladder injury in the patient’s medical record.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9627, healthcare providers need to ensure that the absence of bladder injury is clearly documented in the patient’s medical record. This documentation should include details about the surgical procedure, any precautions taken to prevent bladder injury, and any post-operative monitoring conducted to confirm the absence of bladder injury.

6. Historical Information and Code Maintenance

HCPCS code G9627 was added to the Healthcare Common Procedure Coding System on January 01, 2016. As of the effective date of January 01, 2022, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code G9627 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means it 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 it is not applicable as HCPCS code G9627 is not priced separately by Part B.

8. Examples

Here are five examples of scenarios where HCPCS code G9627 should be billed:

  1. A patient undergoes abdominal surgery, and no bladder injury is identified during the procedure or within the 30-day post-operative period.
  2. A patient undergoes urological surgery, and no bladder injury is identified during the procedure or within the 30-day post-operative period.
  3. A patient undergoes gynecological surgery, and no bladder injury is identified during the procedure or within the 30-day post-operative period.
  4. A patient undergoes orthopedic surgery, and no bladder injury is identified during the procedure or within the 30-day post-operative period.
  5. A patient undergoes cardiac surgery, and no bladder injury is identified during the procedure or within the 30-day post-operative period.

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