How To Use HCPCS Code G9677

HCPCS code G9677 describes the completion of all quality actions for the applicable measures in the cardiovascular prevention measures group for a specific patient. This code is used to indicate that the necessary actions have been taken to prevent cardiovascular diseases in the patient. In this article, we will explore the details of HCPCS code G9677, 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 G9677?

HCPCS code G9677 is used to identify the completion of all quality actions for the applicable measures in the cardiovascular prevention measures group for a patient. It signifies that the necessary preventive measures have been performed to reduce the risk of cardiovascular diseases in the patient.

2. Official Description

The official description of HCPCS code G9677 is “All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patient.” The short description is “Qty act card prev mg perf.”

3. Procedure

1. The provider begins by assessing the patient’s cardiovascular health and risk factors.
2. Based on the assessment, the provider determines the appropriate quality actions to be performed.
3. The provider performs the necessary preventive measures, which may include lifestyle modifications, medication management, and counseling.
4. The provider documents the completion of all quality actions in the patient’s medical record.

4. When to use HCPCS code G9677

HCPCS code G9677 should be used when all quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for a patient. It indicates that the necessary preventive measures have been taken to reduce the risk of cardiovascular diseases in the patient.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9677, healthcare providers need to document the completion of all quality actions in the patient’s medical record. This documentation should include details of the specific preventive measures performed and any relevant supporting information. Providers should follow the billing guidelines set by the payer, ensuring accurate and complete documentation to support the use of this code.

6. Historical Information and Code Maintenance

HCPCS code G9677 was added to the Healthcare Common Procedure Coding System on January 1, 2016. It has an action effective date of January 1, 2017, indicating that no maintenance actions have been taken for this code. The code is terminated as of December 31, 2016, meaning it is no longer in use.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code G9677 may vary. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. This means that the service may be bundled with other services or not covered by Medicare or other insurers. The multiple pricing indicator code is 9, indicating that the value for this code is not established. Providers should verify coverage and reimbursement policies with the payer before submitting claims.

8. Examples

Here are five examples of when HCPCS code G9677 should be billed:

1. A patient with a history of cardiovascular disease receives counseling on lifestyle modifications, such as diet and exercise, and is prescribed appropriate medications.
2. A patient with multiple cardiovascular risk factors undergoes regular monitoring and management of blood pressure, cholesterol levels, and blood sugar levels.
3. A patient with a family history of cardiovascular disease receives genetic testing and counseling to assess their risk and develop a preventive plan.
4. A patient with a recent cardiac event undergoes cardiac rehabilitation, including exercise training, education, and counseling.
5. A patient with diabetes receives regular screenings for cardiovascular complications and appropriate interventions to manage their risk.