G9239 HCPCS - DOCUMENTATION OF REASONS FOR PATIENT INITIATING MAINTENANCE HEMODIALYSIS WITH A CATHETER AS THE MODE OF VASCULAR ACCESS (E.G., PATIENT HAS A MATURING ARTERIOVENOUS FISTULA (AVF)/ARTERIOVENOUS GRAFT (AVG), TIME-LIMITED TRIAL OF HEMODIALYSIS, OTHER MEDICAL REASONS, PATIENT DECLINED AVF/AVG, OTHER PATIENT REASONS, PATIENT FOLLOWED BY REPORTING NEPHROLOGIST FOR FEWER THAN 90 DAYS, OTHER SYSTEM REASONS)

Code Information

HCPCS Code: G9239
Sequence Number: 0010
Short Description: Doc rsn hemod & cath acc
Long Description: Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
Date Added: 1/1/2014
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2021
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: M5B - Specialist - psychiatry
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G9239
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
HCPCS Short Description	Doc rsn hemod & cath acc
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	M5B - Specialist - psychiatry
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2014
HCPCS Action Effective Date	1/1/2021
HCPCS Termination Date	12/31/2020
HCPCS Action Code	N - No maintenance for this code