G9891 HCPCS - MDPP SESSION REPORTED AS A LINE-ITEM ON A CLAIM FOR A PAYABLE MDPP EXPANDED MODEL (EM) HCPCS CODE FOR A SESSION FURNISHED BY THE BILLING SUPPLIER UNDER THE MDPP EXPANDED MODEL AND COUNTING TOWARD ACHIEVEMENT OF THE ATTENDANCE PERFORMANCE GOAL FOR THE PAYABLE MDPP EXPANDED MODEL HCPCS CODE (THIS CODE IS FOR REPORTING PURPOSES ONLY)

Code Information

HCPCS Code: G9891
Sequence Number: 0010
Short Description: Em session reporting
Long Description: Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)
Date Added: 4/1/2018
Action Code: N - No maintenance for this code
Action Effective Date: 4/1/2018
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: Y1 - Other - Medicare fee schedule
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	G9891
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	Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em) hcpcs code for a session furnished by the billing supplier under the mdpp expanded model and counting toward achievement of the attendance performance goal for the payable mdpp expanded model hcpcs code (this code is for reporting purposes only)
HCPCS Short Description	Em session reporting
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	Y1 - Other - Medicare fee schedule
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	4/1/2018
HCPCS Action Effective Date	4/1/2018
HCPCS Action Code	N - No maintenance for this code