How To Use HCPCS Code G9767

HCPCS code G9767 describes the use of endovascular stroke treatment for hospitalized patients with newly diagnosed cva. This code is used to identify the specific procedure and services provided to patients in this particular context. In this article, we will explore the details of HCPCS code G9767, 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 G9767?

HCPCS code G9767 is used to identify the endovascular stroke treatment for hospitalized patients with newly diagnosed cva. This code is specific to this particular procedure and should be used when reporting services related to this treatment.

2. Official Description

The official description of HCPCS code G9767 is “Hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment.” The short description is “Hosp new dx cva consid evst.”

3. Procedure

1. The provider begins by assessing the patient’s medical history and conducting a thorough physical examination.
2. If the patient is diagnosed with a newly diagnosed cva and meets the criteria for endovascular stroke treatment, the provider considers this treatment option.
3. The provider performs the necessary diagnostic tests to determine the appropriateness of endovascular stroke treatment for the patient.
4. If the patient is deemed suitable for the procedure, the provider proceeds with the endovascular stroke treatment.
5. The provider carefully performs the necessary steps of the endovascular stroke treatment, following established medical guidelines and protocols.
6. After the procedure, the provider monitors the patient’s condition and provides any necessary post-procedure care.

4. When to use HCPCS code G9767

HCPCS code G9767 should be used when a hospitalized patient with a newly diagnosed cva is being considered for endovascular stroke treatment. It is important to ensure that the patient meets the specific criteria for this treatment option before reporting this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9767, healthcare providers need to document the patient’s medical history, the diagnosis of newly diagnosed cva, and the consideration of endovascular stroke treatment. It is essential to provide detailed documentation supporting the medical necessity and appropriateness of the procedure. Additionally, the provider should include any relevant test results and reports.

6. Historical Information and Code Maintenance

HCPCS code G9767 was added to the Healthcare Common Procedure Coding System on January 01, 2017. As of now, 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

The coverage for HCPCS code G9767 is determined by the carrier’s judgment. Medicare and other insurance providers may have specific guidelines and policies regarding the reimbursement of this procedure. It is essential to review the individual payer’s coverage policies and guidelines to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code G9767 should be billed:

1. A 65-year-old patient is admitted to the hospital with a newly diagnosed cva. After a thorough evaluation, the patient is considered for endovascular stroke treatment. HCPCS code G9767 should be billed for the procedure.
2. A 50-year-old patient with a history of cva is hospitalized due to a recurrent stroke. The provider determines that endovascular stroke treatment is appropriate in this case. HCPCS code G9767 should be reported for the procedure.
3. A 70-year-old patient is admitted to the hospital with a suspected cva. After diagnostic tests confirm the diagnosis, the provider considers endovascular stroke treatment. HCPCS code G9767 should be used for the procedure.
4. A 55-year-old patient with a newly diagnosed cva is admitted to the hospital. The provider evaluates the patient’s condition and determines that endovascular stroke treatment is not suitable. HCPCS code G9767 should not be billed in this case.
5. A 60-year-old patient with a history of cva is admitted to the hospital with a suspected recurrent stroke. After careful evaluation, the provider decides that endovascular stroke treatment is not appropriate. HCPCS code G9767 should not be reported for this patient.