How To Use HCPCS Code G9637

HCPCS code G9637 describes the final reports with documentation of one or more dose reduction techniques. These techniques may include automated exposure control, adjustment of the ma and/or kv according to patient size, and the use of iterative reconstruction technique. This code is used to indicate that the healthcare provider has implemented one or more dose reduction techniques during a medical procedure.

1. What is HCPCS G9637?

HCPCS code G9637 is used to identify the final reports with documentation of one or more dose reduction techniques. It is important for healthcare providers to accurately document the use of these techniques in order to ensure proper reimbursement and to promote patient safety.

2. Official Description

The official description of HCPCS code G9637 is “Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)”. The short description for this code is “Doc >1 dose reduc tech”.

3. Procedure

  1. The healthcare provider should ensure that the necessary dose reduction techniques are implemented during the medical procedure.
  2. After the procedure, the provider should thoroughly document the use of these techniques in the final report.
  3. The documentation should include details about the specific techniques used, such as automated exposure control, adjustment of the ma and/or kv according to patient size, and the use of iterative reconstruction technique.
  4. The final report should clearly indicate that one or more dose reduction techniques were employed to minimize radiation exposure to the patient.

4. When to use HCPCS code G9637

HCPCS code G9637 should be used when the healthcare provider has implemented one or more dose reduction techniques during a medical procedure. It is important to use this code when the documentation clearly supports the use of these techniques. This code should not be used if dose reduction techniques were not utilized.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9637, healthcare providers should ensure that the final report includes detailed documentation of the dose reduction techniques used. This documentation should clearly indicate the specific techniques employed, such as automated exposure control, adjustment of the ma and/or kv according to patient size, and the use of iterative reconstruction technique. The documentation should also highlight the purpose of these techniques, which is to minimize radiation exposure to the patient.

6. Historical Information and Code Maintenance

HCPCS code G9637 was added to the Healthcare Common Procedure Coding System on January 01, 2016. As of now, 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

The coverage of HCPCS code G9637 may vary depending on the carrier’s judgment. It is important for healthcare providers to check with Medicare or other insurance providers to determine if this code is payable. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which indicates that the value is not established or the code is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G9637 should be billed:

  1. A radiologist performs a CT scan on a patient and utilizes automated exposure control to adjust the radiation dose based on the patient’s size. The radiologist documents the use of this technique in the final report and bills for HCPCS code G9637.
  2. A cardiologist performs a cardiac catheterization procedure and uses iterative reconstruction technique to reduce the radiation dose to the patient. The cardiologist includes detailed documentation of this technique in the final report and includes HCPCS code G9637 on the billing claim.
  3. An orthopedic surgeon performs a fluoroscopy-guided procedure and adjusts the ma and/or kv according to the patient’s size to minimize radiation exposure. The surgeon documents the use of this technique in the final report and includes HCPCS code G9637 on the billing claim.
  4. A radiology technician performs a mammogram and utilizes automated exposure control to adjust the radiation dose based on the patient’s breast density. The technician ensures that this technique is documented in the final report and includes HCPCS code G9637 on the billing claim.
  5. A radiation oncologist administers radiation therapy to a cancer patient and implements multiple dose reduction techniques, including automated exposure control and adjustment of the ma and/or kv according to patient size. The oncologist thoroughly documents these techniques in the final report and bills for HCPCS code G9637.

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