How To Use HCPCS Code G9629

HCPCS code G9629 describes the documented medical reasons for not reporting bowel injury. This code is used in cases where there are specific circumstances that justify the non-reporting of a bowel injury during a surgical procedure. It is important for medical coders to understand the meaning and usage of this code to ensure accurate billing and coding practices.

1. What is HCPCS G9629?

HCPCS code G9629 is a specific code that is used to indicate the documented medical reasons for not reporting a bowel injury during a surgical procedure. It is important to note that this code should only be used in cases where there are valid and documented reasons for not reporting the injury.

2. Official Description

The official description of HCPCS code G9629 is “Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)”. The short description for this code is “Med rsn no rpt bowel inj”.

3. Procedure

  1. During the surgical procedure, the healthcare provider should carefully document any bowel injuries that occur.
  2. If there are specific medical reasons for not reporting a bowel injury, such as the presence of a gynecologic or other pelvic malignancy, planned resection and/or re-anastomosis of the bowel, or patient death from non-medical causes not related to surgery, the provider should clearly document these reasons.
  3. The documentation should include detailed information about the specific medical reasons and any supporting evidence or documentation.
  4. It is important for the provider to accurately document the medical reasons for not reporting the bowel injury to ensure proper coding and billing.

4. When to use HCPCS code G9629

HCPCS code G9629 should be used in cases where there are valid and documented medical reasons for not reporting a bowel injury during a surgical procedure. These reasons may include the presence of a gynecologic or other pelvic malignancy, planned resection and/or re-anastomosis of the bowel, or patient death from non-medical causes not related to surgery.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies related to HCPCS code G9629, healthcare providers need to ensure that they have documented the specific medical reasons for not reporting the bowel injury. This documentation should include detailed information about the circumstances surrounding the injury and any supporting evidence or documentation.

6. Historical Information and Code Maintenance

HCPCS code G9629 was added to the Healthcare Common Procedure Coding System on January 01, 2016. 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 on any changes or revisions to this code to ensure accurate coding and billing practices.

7. Medicare and Insurance Coverage

HCPCS code G9629 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. This code is typically bundled or not separately reimbursed. Medical coders should be aware of the specific pricing and coverage guidelines set forth by Medicare and other insurance providers when using this code.

8. Examples

Here are five examples of when HCPCS code G9629 should be billed:

  1. A patient undergoes a surgical procedure for a gynecologic malignancy, and a bowel injury occurs during the procedure. However, due to the planned resection and/or re-anastomosis of the bowel, the provider determines that it is not necessary to report the injury.
  2. A patient dies during a surgical procedure, but the cause of death is determined to be non-medical and not related to the surgery. In this case, there is no evidence of a bowel injury, and therefore, it is not necessary to report it.
  3. A patient with a pelvic malignancy undergoes a surgical procedure, and a bowel injury occurs. However, due to the presence of the malignancy, the provider determines that it is not necessary to report the injury.
  4. A patient undergoes a surgical procedure for a planned resection and/or re-anastomosis of the bowel. During the procedure, a bowel injury occurs, but the provider determines that it is not necessary to report the injury due to the planned nature of the procedure.
  5. A patient dies during a surgical procedure, and the cause of death is determined to be non-medical and not related to the surgery. In this case, there is no evidence of a bowel injury, and therefore, it is not necessary to report it.

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