HCPCS Code Details - G9968

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9968
Description

Long description:
Patient was referred to another provider or specialist during the performance period

Short description:
Pt refrd 2 pvdr/spclst in pp

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 Z2 - Undefined codes
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2018
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 G9967 · Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report

  • HCPCS G8564 · Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)

  • HCPCS G9524 · Patient was referred to hospice care

  • HCPCS G9969 · Provider who referred the patient to another provider received a report from the provider to whom the patient was referred


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”