G9522 Er/inpatient hosp =/>2 in 12 mos
Also known as: high utilization, frequent hospitalizations
Documentation that patient had two or more emergency room and inpatient hospitalizations in the previous twelve months.
In Plain Language
patient went to hospital twice or more in the last year
Clinical Context
Healthcare utilization quality measure identifying patients with frequent acute care utilization requiring care intensification.
RVU Information
CPT G9522 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G9522?
CPT G9522 (Er/inpatient hosp =/>2 in 12 mos) is a G Codes code. Documentation that patient had two or more emergency room and inpatient hospitalizations in the previous twelve months.
Who uses CPT code G9522?
CPT G9522 is used by Care Management, Primary Care, Quality Reporting. Healthcare utilization quality measure identifying patients with frequent acute care utilization requiring care intensification.
When is CPT G9522 used?
Healthcare utilization quality measure identifying patients with frequent acute care utilization requiring care intensification.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.