How To Use HCPCS Code G9710

HCPCS code G9710 describes the provision of hospice services to a patient at any time during the measurement period. This code is used to identify and bill for the specific care provided to patients who are receiving hospice services.

1. What is HCPCS G9710?

HCPCS code G9710 is a specific code used in medical coding to identify and bill for hospice services provided to patients. It is important for medical coders to accurately assign this code to ensure proper reimbursement for the hospice care provided.

2. Official Description

The official description of HCPCS code G9710 is “Patient was provided hospice services any time during the measurement period.” The short description for this code is “Pt prov hosp srv msmt per.” These descriptions provide a concise summary of the code’s purpose and usage.

3. Procedure

  1. When assigning HCPCS code G9710, the medical coder should ensure that the patient received hospice services during the measurement period.
  2. The measurement period refers to the specific timeframe in which the hospice services were provided to the patient.
  3. The medical coder should review the patient’s medical records and documentation to confirm the provision of hospice services.
  4. Documentation should include details such as the dates of service, the type of hospice care provided, and any relevant clinical information.
  5. Based on the information available, the medical coder can accurately assign HCPCS code G9710 to reflect the provision of hospice services to the patient.

4. When to use HCPCS code G9710

HCPCS code G9710 should be used when a patient has received hospice services during the measurement period. This code is specific to hospice care and should not be used for other types of services or procedures.

5. Billing Guidelines and Documentation Requirements

When billing for hospice services using HCPCS code G9710, healthcare providers should ensure that the necessary documentation is in place. This documentation should include:

  • Proof of the patient’s eligibility for hospice care
  • Documentation of the dates and duration of the hospice services provided
  • Details of the specific hospice care provided, including any relevant clinical information

By ensuring that these documentation requirements are met, healthcare providers can accurately bill for the hospice services using HCPCS code G9710.

6. Historical Information and Code Maintenance

HCPCS code G9710 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 hospice services billed under HCPCS code G9710. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service may be bundled or not covered separately.

8. Examples

Here are five examples of when HCPCS code G9710 should be billed:

  1. A patient with a terminal illness receives hospice services at home during the measurement period.
  2. A patient with advanced cancer is admitted to a hospice facility and receives hospice services throughout the measurement period.
  3. An elderly patient with end-stage heart failure is provided hospice services in a nursing home setting during the measurement period.
  4. A patient with a progressive neurological disorder receives hospice services in a hospice inpatient unit during the measurement period.
  5. A patient with a chronic respiratory condition receives hospice services at a hospice outpatient clinic during the measurement period.

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