How To Use HCPCS Code G9992

HCPCS code G9992 describes palliative care services used by a patient at any time during the measurement period. This code is used to identify and bill for the provision of palliative care, which focuses on providing relief from the symptoms and stress of a serious illness. Palliative care aims to improve the quality of life for patients and their families, addressing physical, emotional, and spiritual needs.

1. What is HCPCS G9992?

HCPCS code G9992 is a specific code used to identify and bill for palliative care services provided to patients during the measurement period. It is important to note that this code is only applicable for palliative care services and should not be used for other types of care or treatments.

2. Official Description

The official description of HCPCS code G9992 is “Palliative care services used by patient any time during the measurement period.” The short description for this code is “Pall serv during meas.”

3. Procedure

1. When providing palliative care services using HCPCS code G9992, the healthcare provider should assess the patient’s needs and develop a comprehensive care plan.
2. The care plan should address the patient’s physical symptoms, such as pain management, nausea, or shortness of breath.
3. Emotional and psychological support should also be provided, including counseling or therapy sessions.
4. Spiritual care, if desired by the patient, should be incorporated into the palliative care services.
5. Regular follow-up visits should be scheduled to monitor the patient’s progress and adjust the care plan as needed.

4. When to use HCPCS code G9992

HCPCS code G9992 should be used when providing palliative care services to patients during the measurement period. It is important to ensure that the services provided align with the definition and goals of palliative care, focusing on symptom management and improving the patient’s quality of life.

5. Billing Guidelines and Documentation Requirements

When billing for palliative care services using HCPCS code G9992, healthcare providers should ensure that the necessary documentation is in place. This may include:

• A comprehensive care plan outlining the specific services provided and the goals of the palliative care.
• Documentation of the patient’s symptoms and the interventions used to address them.
• Progress notes documenting the patient’s response to the palliative care services and any adjustments made to the care plan.

6. Historical Information and Code Maintenance

HCPCS code G9992 was added to the Healthcare Common Procedure Coding System on January 01, 2022. 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

The coverage and pricing of HCPCS code G9992 may vary depending on the payer. Medicare and other insurance providers may have specific guidelines and reimbursement rates for palliative care services. It is important to check with the payer to determine the coverage and reimbursement policies for this code.

8. Examples

Here are five examples of when HCPCS code G9992 should be billed:

1. A patient with advanced cancer receiving palliative care services to manage pain and improve their quality of life.
2. An elderly patient with a chronic illness receiving palliative care services to address their physical symptoms and provide emotional support.
3. A terminally ill patient receiving palliative care services to ensure their comfort and dignity during the end-of-life stage.
4. A patient with a progressive neurological disorder receiving palliative care services to manage their symptoms and provide support to their family.
5. A patient with a life-limiting illness receiving palliative care services to address their physical, emotional, and spiritual needs.