HCPCS code G9632 describes the documented medical reasons for not reporting ureter injury. This code is used to indicate specific situations where reporting of ureter injury is not required due to various medical reasons. In this article, we will explore the details of HCPCS code G9632, 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 G9632?
HCPCS code G9632 is a specific code used in medical coding to identify the documented medical reasons for not reporting ureter injury. It provides information on why the reporting of ureter injury is not necessary in certain cases. This code is important for accurate medical documentation and billing purposes.
2. Official Description
The official description of HCPCS code G9632 is “Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)”. The short description for this code is “Med rsn for no rpt uret inj”.
3. Procedure
- Explain the how the provider would do procedure of HCPCS G9632 step by step with a lot of details.
4. When to use HCPCS code G9632
HCPCS code G9632 should be used in specific situations where there are documented medical reasons for not reporting ureter injury. These reasons may include gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, or patient died during procedure without evidence of ureter injury. It is important to accurately document and code these medical reasons to ensure proper billing and reimbursement.
5. Billing Guidelines and Documentation Requirements
When using HCPCS code G9632, healthcare providers need to document the specific medical reasons for not reporting ureter injury. This documentation should include detailed information about the circumstances and conditions that justify the non-reporting of ureter injury. It is essential to provide clear and concise documentation to support the use of this code during the billing process.
6. Historical Information and Code Maintenance
HCPCS code G9632 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. No maintenance actions are required for this code, as indicated by the action code N, which means no maintenance for this code.
7. Medicare and Insurance Coverage
The coverage of HCPCS code G9632 may vary depending on the payer, including Medicare and other insurance providers. It is essential to check with the specific payer’s guidelines and policies to determine the coverage and reimbursement for this code. 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 it is not applicable as HCPCS is not priced separately by Part B or the value is not established.
8. Examples
Here are five examples of when HCPCS code G9632 should be billed:
- A patient with documented gynecologic malignancy undergoes a surgical procedure that involves the bladder, and no ureter injury is reported.
- A patient undergoing a urinary incontinence procedure experiences an injury, but there is no evidence of ureter injury.
- A patient dies during a surgical procedure due to non-medical causes unrelated to the surgery, and no ureter injury is present.
- A patient undergoing concurrent surgery involving bladder pathology does not experience any ureter injury.
- A patient dies during a surgical procedure without any evidence of ureter injury.
