G9996 Doc pt pal or hospice
Also known as: hospice documentation, end-of-life care
Documentation that a patient is in hospice care or receiving palliative care as an exclusion criterion for quality measures.
In Plain Language
end-of-life care; hospice services
Clinical Context
Used as an exclusion criterion documentation code indicating patients enrolled in hospice or palliative care programs who are exempt from certain quality performance measures.
RVU Information
CPT G9996 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 G9996?
CPT G9996 (Doc pt pal or hospice) is a G Codes code. Documentation that a patient is in hospice care or receiving palliative care as an exclusion criterion for quality measures.
Who uses CPT code G9996?
CPT G9996 is used by Palliative Care, Hospice, Primary Care. Used as an exclusion criterion documentation code indicating patients enrolled in hospice or palliative care programs who are exempt from certain quality performance measures.
When is CPT G9996 used?
Used as an exclusion criterion documentation code indicating patients enrolled in hospice or palliative care programs who are exempt from certain quality performance measures.
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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.