How To Use HCPCS Code G9923

HCPCS code G9923 describes a safety concerns screen provided and negative. This code is used to identify a specific procedure related to screening for safety concerns and determining that no safety concerns are present. In this article, we will explore the details of HCPCS code G9923, 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 G9923?

HCPCS code G9923 is a specific code used in medical coding to identify a safety concerns screen provided and negative. This code is used to indicate that a screening procedure has been performed to assess safety concerns and determine that no safety concerns are present. It is important to note that this code should only be used when the screening results are negative, indicating that no safety concerns were identified.

2. Official Description

The official description of HCPCS code G9923 is “Safety concerns screen provided and negative.” This description accurately reflects the purpose and outcome of the procedure associated with this code. The short description of this code is “Safty cncrns scrn and neg.”

3. Procedure

1. The provider initiates the safety concerns screen by gathering relevant information from the patient, such as medical history, current medications, and any known safety concerns.
2. The provider performs a comprehensive assessment of the patient’s physical and mental health, paying particular attention to any potential safety concerns.
3. If necessary, the provider may order additional diagnostic tests or consultations with other healthcare professionals to further evaluate any identified safety concerns.
4. Based on the findings of the assessment and any additional tests or consultations, the provider determines whether any safety concerns are present.
5. If no safety concerns are identified, the provider documents the negative results of the safety concerns screen.

4. When to use HCPCS code G9923

HCPCS code G9923 should be used when a safety concerns screen is performed, and the results of the screening indicate that no safety concerns are present. This code is applicable in various healthcare settings, including primary care clinics, hospitals, and specialized healthcare facilities. It is important to ensure that the screening procedure meets the specific criteria outlined in the official description of the code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9923, healthcare providers need to ensure that the following documentation requirements are met:

• Documentation of the safety concerns screen procedure, including the steps taken and the findings.
• Documentation of the negative results, indicating that no safety concerns were identified.
• Supporting documentation, such as medical records or test results, if applicable.

Providers should also follow the billing guidelines set forth by the relevant insurance carriers or Medicare to ensure accurate and timely reimbursement for the services rendered.

6. Historical Information and Code Maintenance

HCPCS code G9923 was added to the Healthcare Common Procedure Coding System on January 01, 2018. Since its addition, 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 has remained unchanged since its introduction.

7. Medicare and Insurance Coverage

HCPCS code G9923 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates 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. Providers should refer to the specific guidelines and policies of Medicare or other insurance carriers to determine the reimbursement rates and coverage criteria for this code.

8. Examples

Here are five examples of scenarios where HCPCS code G9923 should be billed:

1. A patient visits a primary care clinic for a routine check-up. As part of the visit, the provider performs a safety concerns screen and determines that no safety concerns are present.
2. A hospital conducts a safety concerns screen for a patient prior to a surgical procedure. The results of the screening indicate that no safety concerns are identified.
3. A specialized healthcare facility performs a safety concerns screen for a patient with a known medical condition. The screening results show no safety concerns.
4. A healthcare provider performs a safety concerns screen for an elderly patient who recently experienced a fall. The results of the screening reveal no safety concerns.
5. A primary care physician conducts a safety concerns screen for a patient with a history of substance abuse. The screening results indicate no safety concerns.