How To Use HCPCS Code G9740

HCPCS code G9740 describes hospice services given to a patient at any time during the measurement period. This code is used to identify and bill for the specific type of care provided to patients who are receiving hospice services. In this article, we will explore the details of HCPCS code G9740, 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 G9740?

HCPCS code G9740 is a specific code used to identify and bill for hospice services provided to a patient during the measurement period. It is important to note that this code is only applicable for hospice services and should not be used for any other type of care or service.

2. Official Description

The official description of HCPCS code G9740 is “Hospice services given to patient any time during the measurement period.” The short description for this code is “Hosp srv to pt dur msmt per.” This description accurately reflects the purpose and usage of this code.

3. Procedure

  1. When providing hospice services to a patient, ensure that all necessary documentation is completed accurately and thoroughly.
  2. Identify the specific dates during the measurement period in which the hospice services were provided.
  3. Assign HCPCS code G9740 to the claim or bill to indicate that hospice services were given to the patient during the identified measurement period.
  4. Submit the claim or bill to the appropriate payer for reimbursement.

4. When to use HCPCS code G9740

HCPCS code G9740 should be used when a patient receives hospice services at any time during the measurement period. It is important to accurately identify and document the dates of service to ensure proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for hospice services using HCPCS code G9740, healthcare providers need to ensure that the following documentation requirements are met:

  • Documentation of the patient’s eligibility for hospice services.
  • Documentation of the specific dates during the measurement period in which the hospice services were provided.
  • Documentation of the services rendered and any relevant clinical information.
  • Documentation of the provider’s certification of the patient’s need for hospice care.

6. Historical Information and Code Maintenance

HCPCS code G9740 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.

7. Medicare and Insurance Coverage

HCPCS code G9740 is covered by Medicare and other insurance providers. 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.

8. Examples

Here are five examples of when HCPCS code G9740 should be billed:

  1. A patient receives hospice services for the entire measurement period.
  2. A patient receives hospice services for a portion of the measurement period.
  3. A patient is admitted to hospice care during the measurement period.
  4. A patient is discharged from hospice care during the measurement period.
  5. A patient receives intermittent hospice services throughout the measurement period.

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