How To Use HCPCS Code G9848

HCPCS code G9848 describes a specific scenario where a patient did not receive systemic cancer-directed therapy in the last 14 days of life. This code is used to indicate that the patient did not undergo any chemotherapy treatment during the final two weeks before their passing.

1. What is HCPCS G9848?

HCPCS code G9848 is a unique alphanumeric code that is part of the Healthcare Common Procedure Coding System (HCPCS). It is used to identify and classify specific medical procedures, services, and supplies provided to patients. In the case of G9848, it signifies that the patient did not receive systemic cancer-directed therapy in the last 14 days of life.

2. Official Description

The official description of HCPCS code G9848 is “Patient did not receive systemic cancer-directed therapy in the last 14 days of life.” The short description for this code is “Pt no chemo last 14d life.”

3. Procedure

  1. When using HCPCS code G9848, the healthcare provider should review the patient’s medical records and treatment history to determine if they received any systemic cancer-directed therapy during the last 14 days of life.
  2. If the patient did not undergo any chemotherapy or other cancer-directed treatments during this period, the provider can assign HCPCS code G9848 to accurately reflect this information.
  3. It is important for the provider to ensure the accuracy of the documentation and coding to support the use of this code.

4. When to use HCPCS code G9848

HCPCS code G9848 should be used in situations where the patient did not receive any systemic cancer-directed therapy in the last 14 days of life. This code is applicable when the patient’s medical records clearly indicate the absence of chemotherapy or other cancer treatments during this specific timeframe.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies associated with HCPCS code G9848, healthcare providers need to ensure proper documentation to support the use of this code. The medical records should clearly indicate that the patient did not receive any systemic cancer-directed therapy in the last 14 days of life.

6. Historical Information and Code Maintenance

HCPCS code G9848 was added to the Healthcare Common Procedure Coding System on January 01, 2017. As of January 01, 2023, it has an action 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

The coverage for HCPCS code G9848 may vary depending on the specific insurance provider and policy. It is important for healthcare providers to check with Medicare or other insurers to determine if this code is payable. The pricing indicator code for G9848 is 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means 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 scenarios where HCPCS code G9848 should be billed:

  1. A patient with terminal cancer who opted not to receive any chemotherapy treatment during the last 14 days of life.
  2. An elderly patient with advanced cancer who was deemed ineligible for systemic cancer-directed therapy and did not receive any treatment during the final two weeks before their passing.
  3. A patient with end-stage cancer who was receiving palliative care and chose not to pursue any further cancer-directed therapy during the last 14 days of life.
  4. A patient with metastatic cancer who experienced severe complications and was unable to undergo any chemotherapy treatment during the final two weeks before their passing.
  5. A patient with terminal cancer who decided to focus on comfort measures and quality of life rather than pursuing any additional cancer-directed therapy during the last 14 days of life.

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