How To Use HCPCS Code G9963

HCPCS code G9963 describes the situation where embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy. This code is used to indicate that the provider did not document the specific endpoints for each embolized vessel or did not perform angiography or embolization in the presence of variant uterine artery anatomy.

1. What is HCPCS G9963?

HCPCS code G9963 is a specific code used in medical coding to identify the situation where embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy. It is important for medical coders to accurately assign this code when the specific criteria are met.

2. Official Description

The official description of HCPCS code G9963 is “Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy.” The short description for this code is “Embolization not documented separately.”

3. Procedure

1. The provider should carefully review the medical documentation to determine if the embolization endpoints were documented separately for each embolized vessel.
2. If the endpoints were not documented separately, the provider should assign HCPCS code G9963 to indicate this situation.
3. In addition, the provider should also ensure that ovarian artery angiography or embolization was not performed in the presence of variant uterine artery anatomy.
4. If ovarian artery angiography or embolization was not performed in the presence of variant uterine artery anatomy, HCPCS code G9963 should be assigned.

4. When to use HCPCS code G9963

HCPCS code G9963 should be used when the embolization endpoints are not documented separately for each embolized vessel or when ovarian artery angiography or embolization is not performed in the presence of variant uterine artery anatomy. It is important to review the medical documentation thoroughly to determine if the specific criteria for this code are met.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G9963, healthcare providers need to ensure that the medical documentation clearly supports the lack of separate documentation for embolization endpoints or the absence of ovarian artery angiography or embolization in the presence of variant uterine artery anatomy. This documentation should be included in the patient’s medical record and available for review if necessary.

6. Historical Information and Code Maintenance

HCPCS code G9963 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.

7. Medicare and Insurance Coverage

HCPCS code G9963 is covered by Medicare and other insurance providers. However, it is important to verify coverage with the specific insurance carrier to ensure reimbursement for the service or supply associated with this code. The pricing indicator code for HCPCS code G9963 is 00, which means that the service is not separately priced by Part B. This indicates that the service may be bundled or not covered by Medicare or other insurers.

8. Examples

Here are five examples of when HCPCS code G9963 should be billed:

1. A patient undergoes embolization for uterine fibroids, but the endpoints for each embolized vessel are not documented separately in the medical record.
2. A patient undergoes ovarian artery angiography, but it is not performed in the presence of variant uterine artery anatomy.
3. A patient undergoes embolization for a liver tumor, but the endpoints for each embolized vessel are not documented separately in the medical record.
4. A patient undergoes ovarian artery embolization, but it is not performed in the presence of variant uterine artery anatomy.
5. A patient undergoes embolization for a renal artery aneurysm, but the endpoints for each embolized vessel are not documented separately in the medical record.