How To Use HCPCS Code G9723

HCPCS code G9723 describes hospice services for a patient received at any time during the measurement period. This code is used to identify and bill for the specific services provided to patients who are receiving hospice care. In this article, we will delve into the details of HCPCS code G9723, 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 G9723?

HCPCS code G9723 is used to identify hospice services provided to patients during the measurement period. It is important to note that this code specifically refers to hospice services and should not be used for other types of care or treatments. When using this code, it is crucial to ensure that the patient meets the criteria for hospice care and that the services provided align with the definition of hospice care.

2. Official Description

The official description of HCPCS code G9723 is “Hospice services for patient received any time during the measurement period.” The short description for this code is “Hosp recd by pt dur msmt per.” This description accurately reflects the purpose of this code, which is to identify and bill for hospice services provided to patients within a specific measurement period.

3. Procedure

  1. When providing hospice services to a patient, the healthcare provider should ensure that the patient meets the eligibility criteria for hospice care.
  2. The provider should document the specific services provided to the patient during the measurement period.
  3. The services may include palliative care, pain management, emotional support, and assistance with activities of daily living.
  4. The provider should accurately document the start and end dates of the measurement period to ensure proper billing.
  5. It is important to code and bill for each individual service provided during the measurement period using the appropriate HCPCS codes.

4. When to use HCPCS code G9723

HCPCS code G9723 should be used when a patient receives hospice services at any time during the measurement period. It is important to note that this code is specific to hospice care and should not be used for other types of services or treatments. The patient must meet the eligibility criteria for hospice care, and the services provided must align with the definition of hospice care.

5. Billing Guidelines and Documentation Requirements

When billing for hospice services using HCPCS code G9723, healthcare providers need to ensure that the following documentation requirements are met:

  • Accurate documentation of the services provided during the measurement period.
  • Documentation of the start and end dates of the measurement period.
  • Proper coding of each individual service provided using the appropriate HCPCS codes.

Providers should also follow the billing guidelines set forth by Medicare and other insurance carriers to ensure accurate and timely reimbursement for the services provided.

6. Historical Information and Code Maintenance

HCPCS code G9723 was added to the Healthcare Common Procedure Coding System on January 01, 2017. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has an effective date of January 01, 2017, and there have been no significant changes or revisions since its addition.

7. Medicare and Insurance Coverage

HCPCS code G9723 is covered by Medicare and other insurance carriers. 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 is bundled or not covered separately. The multiple pricing indicator code is 9, which means that the value for this code is not established or not applicable as HCPCS is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G9723 should be billed:

  1. A patient receives hospice services for pain management during the measurement period.
  2. A patient receives emotional support and counseling services as part of hospice care.
  3. A patient receives assistance with activities of daily living, such as bathing and dressing, while under hospice care.
  4. A patient receives palliative care services to improve their quality of life during the measurement period.
  5. A patient receives hospice services for symptom management and relief.

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