How To Use HCPCS Code G9826

HCPCS code G9826 describes the situation where a patient is transferred to a medical practice after the initiation of chemotherapy. This code is used to indicate that the patient has already started receiving chemotherapy treatment and has now been transferred to another healthcare facility or provider for further care.

1. What is HCPCS G9826?

HCPCS code G9826 is a specific code used in medical coding to identify the transfer of a patient to a medical practice after the initiation of chemotherapy. It is important to use this code accurately to ensure proper documentation and billing for the services provided.

2. Official Description

The official description of HCPCS code G9826 is “Patient transferred to practice after initiation of chemotherapy.” The short description for this code is “Transf pract aft init chemo.”

3. Procedure

1. When a patient has already started receiving chemotherapy treatment and needs to be transferred to another medical practice, the healthcare provider should ensure proper documentation of the transfer.
2. The provider should document the reason for the transfer, including any medical or logistical considerations.
3. It is important to include the date of the transfer and any relevant information about the patient’s ongoing chemotherapy treatment.
4. The provider should also document any instructions or recommendations given to the receiving medical practice regarding the patient’s care.

4. When to use HCPCS code G9826

HCPCS code G9826 should be used when a patient who has already started receiving chemotherapy treatment is transferred to another medical practice. This code is not applicable for patients who are starting chemotherapy for the first time. It is important to use this code only when the specific situation described in the official description applies.

5. Billing Guidelines and Documentation Requirements

When billing for services related to HCPCS code G9826, healthcare providers should ensure proper documentation to support the use of this code. The documentation should include:

• Medical records indicating that the patient has already started receiving chemotherapy treatment
• Documentation of the transfer, including the reason for the transfer and any relevant information about the patient’s ongoing treatment
• Any instructions or recommendations given to the receiving medical practice

6. Historical Information and Code Maintenance

HCPCS code G9826 was added to the Healthcare Common Procedure Coding System on January 1, 2017. As of December 31, 2020, this code has been terminated. The termination of a code means that it is no longer valid for use in medical coding and billing.

7. Medicare and Insurance Coverage

The coverage of HCPCS code G9826 may vary depending on the specific insurance provider. It is important to check with the insurance company or Medicare to determine if this code is payable and to understand any specific billing requirements or guidelines.

8. Examples

Here are five examples of when HCPCS code G9826 should be billed:

1. A patient who has been receiving chemotherapy at one medical practice is transferred to another practice due to a change in their healthcare provider.
2. A patient who has been receiving chemotherapy at a hospital is transferred to a private oncology clinic for ongoing treatment.
3. A patient who has been receiving chemotherapy at a specialized cancer center is transferred to a local community hospital for closer follow-up care.
4. A patient who has been receiving chemotherapy at a rural healthcare facility is transferred to a larger medical center for more advanced treatment options.
5. A patient who has been receiving chemotherapy at a primary care physician’s office is transferred to an oncology specialist for specialized cancer care.