How To Use HCPCS Code G9753

HCPCS code G9753 describes the documentation of medical reasons for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive. This code is specifically used in cases where time is of the essence, such as trauma, acute myocardial infarction, stroke, or aortic aneurysm.

1. What is HCPCS G9753?

HCPCS code G9753 is used to document the medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months. This code is applicable in situations where time is critical, such as in cases of trauma, acute myocardial infarction, stroke, or aortic aneurysm.

2. Official Description

The official description of HCPCS code G9753 is “Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive.” The short description for this code is “Doc no DICOM, CT other fac.”

3. Procedure

1. The healthcare provider should review the patient’s medical history and determine if there is a need to search for DICOM format images of prior CT imaging studies.
2. If the patient has undergone CT imaging studies at non-affiliated external healthcare facilities or entities within the past 12 months, the provider should assess whether these images are available through a secure, authorized, media-free, shared archive.
3. If the provider determines that there is a medical reason for not conducting a search for DICOM format images, they should document the specific reason in the patient’s medical record.

4. When to use HCPCS code G9753

HCPCS code G9753 should be used when there is a medical reason for not conducting a search for DICOM format images of prior patient CT imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months. This code is specifically applicable in cases where time is of the essence, such as trauma, acute myocardial infarction, stroke, or aortic aneurysm.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9753, healthcare providers need to document the medical reason for not conducting a search for DICOM format images in the patient’s medical record. This documentation should clearly explain the specific circumstances or conditions that justify the decision not to search for these images. It is important to ensure that the documentation is accurate, complete, and supports the medical necessity of the service.

6. Historical Information and Code Maintenance

HCPCS code G9753 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

HCPCS code G9753 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 either not covered, bundled, or used by Part A only. The multiple pricing indicator 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 some examples of when HCPCS code G9753 should be billed:

1. A patient arrives at the emergency department with symptoms of a stroke. The healthcare provider determines that there is a medical reason for not conducting a search for DICOM format images of prior CT imaging studies from non-affiliated external healthcare facilities due to the urgent need for immediate treatment.
2. A patient is involved in a severe car accident and is brought to the trauma center. The healthcare provider decides not to search for DICOM format images of prior CT imaging studies completed at non-affiliated external healthcare facilities within the past 12 months due to the critical nature of the patient’s condition.
3. A patient presents with symptoms of acute myocardial infarction. The healthcare provider determines that there is a medical reason for not conducting a search for DICOM format images of prior CT imaging studies from non-affiliated external healthcare facilities within the past 12 months because time is of the essence in providing immediate treatment.
4. A patient is diagnosed with a suspected aortic aneurysm. The healthcare provider decides not to search for DICOM format images of prior CT imaging studies completed at non-affiliated external healthcare facilities within the past 12 months due to the urgency of the situation and the need for prompt intervention.
5. A patient is brought to the emergency department with multiple traumatic injuries. The healthcare provider determines that there is a medical reason for not conducting a search for DICOM format images of prior CT imaging studies from non-affiliated external healthcare facilities within the past 12 months because immediate medical attention is required to stabilize the patient.