HCPCS Code Details - G9264

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9264
Description

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)

Short description:
Doc rsn hemod w/cath >=90d

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5B - Specialist - psychiatry
HCPCS Action code C - Change in long description of procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2020
Date added Added Jan 01, 2014
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9263 · Documentation of patient discharged alive following endovascular aaa repair

  • HCPCS G0921 · Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)

  • HCPCS G2094 · Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons)

  • HCPCS G8706 · Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)

  • HCPCS G8866 · Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)

  • HCPCS G8949 · Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)

  • HCPCS G8969 · Documentation of patient reason(s) for not prescribing warfarin or another fda-approved oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient choice of having atrial appendage device placed)

  • HCPCS G9191 · Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)

  • HCPCS G9250 · Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9251 · Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment

  • HCPCS G9254 · Documentation of patient discharged to home later than post-operative day 2 following cas

  • HCPCS G9265 · Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”