How To Use HCPCS Code G9644

HCPCS code G9644 describes the specific situation where patients have abstained from smoking prior to anesthesia on the day of surgery or procedure. This code is used to indicate that the patient did not smoke before undergoing anesthesia, and it is important for medical coders to understand how to properly use this code in their documentation and billing processes.

1. What is HCPCS G9644?

HCPCS code G9644 is a specific code used to identify patients who have abstained from smoking prior to anesthesia on the day of surgery or procedure. This code is important for accurately documenting and billing for services provided to patients who have followed the necessary precautions before undergoing anesthesia.

2. Official Description

The official description of HCPCS code G9644 is “Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure.” The short description for this code is “No smok b/4 anes day of surg.”

3. Procedure

  1. Before administering anesthesia, the healthcare provider should inquire about the patient’s smoking habits.
  2. If the patient confirms that they have abstained from smoking on the day of surgery or procedure, the provider should document this information.
  3. The provider should ensure that the patient’s smoking status is clearly indicated in the medical records.
  4. When coding, the medical coder should use HCPCS code G9644 to accurately reflect the patient’s smoking status prior to anesthesia.

4. When to use HCPCS code G9644

HCPCS code G9644 should be used when the patient has abstained from smoking prior to anesthesia on the day of surgery or procedure. It is important to note that this code is specific to the smoking status of the patient and should not be used for any other purpose.

5. Billing Guidelines and Documentation Requirements

When billing for services using HCPCS code G9644, healthcare providers should ensure that the patient’s smoking status is clearly documented in the medical records. This documentation should include the date of surgery or procedure and confirmation that the patient did not smoke on that day. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G9644 was added to the Healthcare Common Procedure Coding System on January 01, 2016. Since its addition, 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

Medicare and other insurance providers may cover services or procedures associated with HCPCS code G9644, but it is important to check with the specific payer for their coverage policies. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means 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 G9644 should be billed:

  1. A patient undergoes surgery and confirms that they did not smoke on the day of the procedure. HCPCS code G9644 should be used to indicate the patient’s smoking status.
  2. A patient undergoes a medical procedure that requires anesthesia. The patient provides documentation that they have abstained from smoking on the day of the procedure. HCPCS code G9644 should be used in this case.
  3. A patient is scheduled for surgery and the healthcare provider confirms that the patient has not smoked on the day of the surgery. HCPCS code G9644 should be used to reflect the patient’s smoking status.
  4. A patient undergoes a procedure that requires anesthesia. The medical records clearly indicate that the patient did not smoke on the day of the procedure. HCPCS code G9644 should be used in this scenario.
  5. A patient is admitted for surgery and provides a signed statement confirming that they have abstained from smoking on the day of the surgery. HCPCS code G9644 should be used to document the patient’s smoking status.

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