How To Use HCPCS Code G9762

HCPCS code G9762 describes the situation where a patient has received at least two HPV vaccines with a minimum of 146 days between the two doses, or three HPV vaccines administered on or between the patient’s 9th and 13th birthdays. This code is used to identify and bill for the administration of these vaccines.

1. What is HCPCS G9762?

HCPCS code G9762 is a specific code used in medical coding to identify and bill for the administration of HPV vaccines. It signifies that the patient has received either two HPV vaccines with a minimum of 146 days between the doses or three HPV vaccines administered on or between the patient’s 9th and 13th birthdays.

2. Official Description

The official description of HCPCS code G9762 is as follows: “Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient’s 9th and 13th birthdays.” The short description of this code is “Pt had >= 2-3 HPV vaccines.”

3. Procedure

1. The healthcare provider should verify the patient’s vaccination history to determine if they have received the required number of HPV vaccines.
2. If the patient has not received the required number of vaccines, the provider should administer the necessary doses according to the recommended schedule.
3. The provider should document the administration of the HPV vaccines in the patient’s medical record, including the date, dosage, and any relevant information.
4. After the administration of the vaccines, the provider can use HCPCS code G9762 to bill for the service.

4. When to use HCPCS code G9762

HCPCS code G9762 should be used when a patient has received the required number of HPV vaccines as specified in the official description. It is important to ensure that the patient meets the eligibility criteria for this code, such as the minimum time interval between doses or the age range for administration. This code should not be used for patients who have not met the specified requirements.

5. Billing Guidelines and Documentation Requirements

When billing for the administration of HPV vaccines using HCPCS code G9762, healthcare providers need to ensure that the following documentation requirements are met:

• Documentation of the patient’s vaccination history, including the number of HPV vaccines received and the dates of administration.
• Documentation of the administration of the HPV vaccines, including the date, dosage, and any relevant information.
• Submission of the appropriate claim form with the correct HCPCS code and supporting documentation.

6. Historical Information and Code Maintenance

HCPCS code G9762 was added to the Healthcare Common Procedure Coding System on January 01, 2017. As of January 01, 2018, 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 used to identify and bill for the administration of HPV vaccines and has not undergone any significant changes since its addition.

7. Medicare and Insurance Coverage

The coverage of HCPCS code G9762 by Medicare and other insurance providers may vary. It is important to check with the specific payer for their reimbursement policies and guidelines regarding the administration of HPV vaccines. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. The multiple pricing indicator code is 9, indicating 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 G9762 should be billed:

1. A 12-year-old patient receives their second HPV vaccine dose, which is administered 180 days after the first dose. The provider can use HCPCS code G9762 to bill for the administration of the second dose.
2. A 10-year-old patient receives their third HPV vaccine dose on their 10th birthday. The provider can use HCPCS code G9762 to bill for the administration of the third dose.
3. A 15-year-old patient receives their second HPV vaccine dose, which is administered 100 days after the first dose. The provider cannot use HCPCS code G9762 in this case as the minimum time interval of 146 days between doses has not been met.
4. A 9-year-old patient receives their first HPV vaccine dose. The provider cannot use HCPCS code G9762 in this case as the patient has not received the required number of vaccines.
5. A 14-year-old patient receives their fourth HPV vaccine dose. The provider cannot use HCPCS code G9762 in this case as the patient has already received the required number of vaccines.