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G9861 Pt more than 3d hospice

G Codes

Also known as: prolonged hospice stay, more than 3 days hospice

Healthcare quality measure documenting patient in hospice for more than 3 days duration.

In Plain Language

extended palliative care; adequate hospice time

Clinical Context

Quality measure documenting patients with adequate hospice length of stay, allowing for appropriate comfort care and family support.

RVU Information

CPT G9861 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

Palliative CareQuality ReportingOncology

Frequently Asked Questions

What is CPT code G9861?

CPT G9861 (Pt more than 3d hospice) is a G Codes code. Healthcare quality measure documenting patient in hospice for more than 3 days duration.

Who uses CPT code G9861?

CPT G9861 is used by Palliative Care, Quality Reporting, Oncology. Quality measure documenting patients with adequate hospice length of stay, allowing for appropriate comfort care and family support.

When is CPT G9861 used?

Quality measure documenting patients with adequate hospice length of stay, allowing for appropriate comfort care and family support.

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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.