How To Use HCPCS Code G9922

HCPCS code G9922 describes a safety concerns screen provided and if positive, then documented mitigation recommendations. This code is used to identify a specific procedure related to assessing safety concerns and providing recommendations for addressing them. In this article, we will explore the details of HCPCS code G9922, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and examples of when this code should be billed.

1. What is HCPCS G9922?

HCPCS code G9922 is a specific code used to identify the safety concerns screen provided and if positive, then documented mitigation recommendations. It is important to note that this code is specific to the assessment and management of safety concerns in healthcare settings.

2. Official Description

The official description of HCPCS code G9922 is “Safety concerns screen provided and if positive then documented mitigation recommendations.” The short description for this code is “Sfty cncrns scrn nd mit recs.”

3. Procedure

1. The provider begins by conducting a safety concerns screen, which involves assessing potential safety risks or hazards in the healthcare environment.
2. If the safety concerns screen yields positive results, indicating the presence of safety issues, the provider proceeds to document mitigation recommendations.
3. The mitigation recommendations may include specific actions or interventions to address the identified safety concerns and minimize potential risks.
4. The provider ensures that all documented mitigation recommendations are clear, concise, and tailored to the specific safety concerns identified during the screening process.

4. When to use HCPCS code G9922

HCPCS code G9922 should be used when a healthcare provider performs a safety concerns screen and provides documented mitigation recommendations. This code is applicable in situations where there is a need to assess and address safety risks or hazards in the healthcare setting.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9922, healthcare providers need to ensure that the following guidelines and documentation requirements are met:

• Properly document the safety concerns screen, including the methodology used and any positive findings.
• Document the mitigation recommendations clearly, specifying the actions or interventions recommended to address the identified safety concerns.
• Include any supporting documentation or evidence that substantiates the need for the safety concerns screen and the recommended mitigation measures.
• Ensure that the documentation is accurate, complete, and compliant with all relevant coding and billing guidelines.

6. Historical Information and Code Maintenance

HCPCS code G9922 was added to the Healthcare Common Procedure Coding System on January 01, 2018. 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. This code is still active and can be used for appropriate billing purposes.

7. Medicare and Insurance Coverage

The coverage and pricing of HCPCS code G9922 may vary depending on the payer, including Medicare and other insurance providers. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. This means that the service is either not covered, bundled with other services, or used exclusively by Part A. The multiple pricing indicator code is 9, which means that the value for this code is not established or not applicable as HCPCS G9922 is not priced separately by Part B.

8. Examples

Here are five examples of scenarios where HCPCS code G9922 should be billed:

1. A healthcare provider conducts a safety concerns screen in a hospital setting and identifies potential fire hazards. They document mitigation recommendations, including the installation of fire extinguishers and the implementation of fire safety training for staff.
2. During a safety concerns screen in a nursing home, the provider discovers inadequate lighting in certain areas. They recommend the installation of additional lighting fixtures to improve visibility and reduce the risk of falls.
3. In a clinic, a safety concerns screen reveals outdated emergency response protocols. The provider documents mitigation recommendations, such as updating the protocols and conducting regular drills to ensure staff readiness in emergency situations.
4. During a safety concerns screen in an outpatient facility, the provider identifies potential infection control issues. They recommend implementing stricter hand hygiene protocols and improving the availability of personal protective equipment.
5. A healthcare provider performs a safety concerns screen in a laboratory and identifies improper storage of hazardous chemicals. They document mitigation recommendations, including the implementation of proper storage procedures and staff training on chemical safety.