G9264 HCPCS - DOCUMENTATION OF PATIENT RECEIVING MAINTENANCE HEMODIALYSIS FOR GREATER THAN OR EQUAL TO 90 DAYS WITH A CATHETER FOR DOCUMENTED REASONS (E.G., OTHER MEDICAL REASONS, PATIENT DECLINED ARTERIOVENOUS FISTULA (AVF)/ARTERIOVENOUS GRAFT (AVG), OTHER PATIENT REASONS)

Code Information

HCPCS Code: G9264
Sequence Number: 0010
Short Description: Doc rsn hemod w/cath >=90d
Long Description: Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient 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	G9264
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 patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
HCPCS Short Description	Doc rsn hemod w/cath >=90d
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