How To Use HCPCS Code G9702

HCPCS code G9702 describes the use of hospice services by patients during the measurement period. This code is used to indicate that a patient has utilized hospice care at any point within the specified timeframe. In this article, we will explore the details of HCPCS code G9702, 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 G9702?

HCPCS code G9702 is used to identify patients who have used hospice services during the measurement period. It is important to note that this code specifically refers to the utilization of hospice care and not other types of healthcare services. The code G9702 should be used to accurately document and track the use of hospice services by patients.

2. Official Description

The official description of HCPCS code G9702 is “Patients who use hospice services any time during the measurement period.” The short description for this code is “Pt use hosp during msmt per.” These descriptions provide a clear understanding of the purpose and usage of this code.

3. Procedure

  1. During the measurement period, healthcare providers should identify patients who have utilized hospice services.
  2. Ensure that the documentation clearly indicates the use of hospice care by the patient.
  3. Assign HCPCS code G9702 to accurately represent the patient’s utilization of hospice services.

4. When to use HCPCS code G9702

HCPCS code G9702 should be used when a patient has utilized hospice services at any point during the measurement period. It is important to accurately document the use of hospice care to ensure proper tracking and reporting of patient care.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9702, healthcare providers should ensure that the documentation clearly supports the utilization of hospice services by the patient. This may include medical records, progress notes, or any other relevant documentation that confirms the provision of hospice care.

6. Historical Information and Code Maintenance

HCPCS code G9702 was added to the Healthcare Common Procedure Coding System on January 01, 2017. As of the effective date, 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 the utilization of hospice services indicated by HCPCS code G9702. However, it is important to review the specific coverage policies of each payer to determine the reimbursement eligibility and requirements.

8. Examples

Here are five examples of when HCPCS code G9702 should be billed:

  1. A patient with a terminal illness receives hospice care for pain management during the measurement period.
  2. An elderly patient with a chronic condition receives hospice services to address their end-of-life care needs.
  3. A patient with a life-limiting illness receives hospice care at home, including nursing visits and medication management.
  4. A patient with a terminal diagnosis receives hospice services in a dedicated hospice facility.
  5. A patient with a progressive disease receives hospice care to provide emotional and spiritual support during their final stages of life.

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