How To Use HCPCS Code G9707

HCPCS code G9707 describes the situation where a patient has received hospice services at any time during the measurement period. This code is used to indicate that the patient has been under the care of a hospice provider for a certain duration of time. In this article, we will explore the details of HCPCS code G9707, 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 G9707?

HCPCS code G9707 is used to identify patients who have received hospice services during the measurement period. It signifies that the patient has been under the care of a hospice provider for a certain duration of time. This code helps in tracking and documenting the utilization of hospice services for reporting and reimbursement purposes.

2. Official Description

The official description of HCPCS code G9707 is “Patient received hospice services any time during the measurement period.” The short description for this code is “Pt had hosp dur msmt per.”

3. Procedure

  1. The provider should document the start and end dates of the measurement period.
  2. Review the patient’s medical records to determine if they have received hospice services during the measurement period.
  3. If the patient has received hospice services, assign HCPCS code G9707 to indicate this.

4. When to use HCPCS code G9707

HCPCS code G9707 should be used when a patient has received hospice services at any time during the measurement period. It is important to accurately document the duration of hospice care provided to the patient to ensure proper reporting and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9707, healthcare providers need to document the start and end dates of the measurement period, as well as the specific hospice services provided to the patient. This documentation should be detailed and include any relevant medical records or reports that support the need for hospice care.

6. Historical Information and Code Maintenance

HCPCS code G9707 was added to the Healthcare Common Procedure Coding System on January 01, 2017. 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

Medicare and other insurance providers may cover hospice services for eligible patients. However, the coverage and reimbursement for HCPCS code G9707 may vary depending on the specific policies and guidelines of each insurance provider. It is important to review the coverage criteria and guidelines provided by the respective insurance plans to ensure proper reimbursement.

8. Examples

Here are five examples of when HCPCS code G9707 should be billed:

  1. A patient was under the care of a hospice provider for the entire measurement period.
  2. A patient received hospice services for a portion of the measurement period.
  3. A patient was discharged from hospice care during the measurement period.
  4. A patient was readmitted to hospice care after a temporary discharge during the measurement period.
  5. A patient received concurrent hospice and curative care during the measurement period.

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