How To Use HCPCS Code G9717
HCPCS code G9717 describes the documentation stating that a patient has had a diagnosis of bipolar disorder. This code is used to indicate that the patient’s medical records contain evidence of a bipolar disorder diagnosis. In this article, we will explore the details of HCPCS code G9717, including its official description, procedure, when to use it, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, and provide examples of when this code should be billed.
1. What is HCPCS G9717?
HCPCS code G9717 is a specific code used in medical coding to indicate that a patient has a documented diagnosis of bipolar disorder. It is important for healthcare providers to accurately document this diagnosis in the patient’s medical records to ensure proper coding and billing.
2. Official Description
The official description of HCPCS code G9717 is “Documentation stating the patient has had a diagnosis of bipolar disorder.” The short description for this code is “Doc pt dx bipol.” These descriptions provide a clear understanding of the purpose and usage of this code.
3. Procedure
- As HCPCS code G9717 is related to documentation, there is no specific procedure associated with this code. Healthcare providers need to ensure that the patient’s medical records contain evidence of a diagnosis of bipolar disorder.
4. When to use HCPCS code G9717
HCPCS code G9717 should be used when the patient’s medical records clearly indicate a diagnosis of bipolar disorder. This code is used to communicate this diagnosis to insurance companies and other healthcare entities for proper coding and billing purposes.
5. Billing Guidelines and Documentation Requirements
When using HCPCS code G9717, healthcare providers need to ensure that the patient’s medical records contain sufficient documentation to support the diagnosis of bipolar disorder. This may include physician notes, diagnostic test results, and any other relevant documentation. It is important to accurately code and bill for services related to bipolar disorder to ensure proper reimbursement.
6. Historical Information and Code Maintenance
HCPCS code G9717 was added to the Healthcare Common Procedure Coding System on January 01, 2017. It has an action code of C, indicating a change in the long description of the procedure or modifier code. The action effective date is January 01, 2024. There have been no pricing indicators or multiple pricing indicators assigned to this code, indicating that it is not separately priced by Part B and its value is not established.
7. Medicare and Insurance Coverage
Medicare and insurance coverage for HCPCS code G9717 may vary. It is important for healthcare providers to check with the specific insurance carrier or Medicare to determine if this code is payable. The pricing indicator code for this code is 00, indicating that the service is not separately priced by Part B. It is always recommended to verify coverage and reimbursement policies with the respective payers.
8. Examples
Here are five examples of when HCPCS code G9717 should be billed:
- A patient presents with symptoms of bipolar disorder and the physician documents a diagnosis of bipolar disorder in the medical records.
- A patient with a known history of bipolar disorder visits a psychiatrist for a follow-up appointment, and the physician confirms the diagnosis in the medical records.
- A patient is admitted to a psychiatric hospital with a diagnosis of bipolar disorder, and the medical records clearly indicate this diagnosis.
- A patient undergoes a psychiatric evaluation, and the results confirm a diagnosis of bipolar disorder, which is documented in the medical records.
- A patient’s primary care physician refers them to a psychiatrist for evaluation and treatment of bipolar disorder, and the psychiatrist confirms the diagnosis in the medical records.
