How To Use HCPCS Code G9751

HCPCS code G9751 describes the situation where a patient has died at any time during the 24-month measurement period. This code is used to indicate that the patient passed away within a specific timeframe and is an important factor in determining the patient’s healthcare outcomes.

1. What is HCPCS G9751?

HCPCS code G9751 is used to identify patients who have died at any time during the 24-month measurement period. It is important to note that this code does not provide any specific details about the cause of death or any other related information. It simply indicates that the patient has passed away within the designated timeframe.

2. Official Description

The official description of HCPCS code G9751 is “Patient died at any time during the 24-month measurement period.” The short description for this code is “Pt died w/in 24 mos rpt time.”

3. Procedure

  1. There is no specific procedure associated with HCPCS code G9751. It is used solely for reporting purposes to indicate that a patient has passed away within the 24-month measurement period.

4. When to use HCPCS code G9751

HCPCS code G9751 should be used when a patient has died at any time during the 24-month measurement period. It is important to accurately report this information to ensure accurate healthcare outcomes data and analysis.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9751, healthcare providers should ensure that the patient’s death is properly documented in the medical records. This documentation should include the date of death and any relevant information related to the patient’s condition at the time of death. It is important to follow the specific billing guidelines and requirements set forth by the payer, such as Medicare or other insurance providers, to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G9751 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 is still currently active and can be used for reporting purposes.

7. Medicare and Insurance Coverage

HCPCS code G9751 is not separately priced by Medicare or 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 either not covered, bundled, or used by Part A only. The multiple pricing indicator code for this code is 9, which means that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G9751 should be billed:

  1. A patient was diagnosed with a terminal illness and passed away within the 24-month measurement period.
  2. An elderly patient with multiple comorbidities passed away in a nursing home within the 24-month measurement period.
  3. A patient who had been receiving palliative care services passed away at home within the 24-month measurement period.
  4. A patient who had been enrolled in a hospice program passed away within the 24-month measurement period.
  5. A patient who had been receiving ongoing treatment for a chronic condition passed away in a hospital within the 24-month measurement period.

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