2025 HCPCS code G9824
(Active) Effective Date: N/A Revision Date: N/A Quality Measure Tracking - Endometrial Ablation Quality Measure Additional Assorted Quality Measures Feed
Tracking code indicating lack of documented endometrial sampling or hysteroscopy within 12 months prior to endometrial ablation.
No modifiers are applicable to this code.
The medical necessity is tied to the quality measure.Pre-procedural evaluation for endometrial hyperplasia or malignancy is often considered medically necessary before performing an endometrial ablation.The absence of documentation reflects a potential gap in the standard of care.
The clinical responsibility lies with the physician performing the endometrial ablation and the physician or provider who would have conducted the endometrial sampling or hysteroscopy (if done).The code itself is a quality measure tracking code and not a procedure code. Documentation of its absence would be reviewed by quality management personnel.
- Additional Assorted Quality Measures
- G9824 falls under the broader category of Additional Assorted Quality Measures within the HCPCS Level II coding system.
In simple words: This code is used to track whether a patient had tests (endometrial sampling or hysteroscopy) before a procedure to remove the lining of the uterus (endometrial ablation). It flags cases where those important tests weren't documented in the patient's medical record within the year before the procedure.
This HCPCS code (G9824) is a tracking code used for performance measurement related to endometrial ablation.It indicates that documentation does not show the patient had endometrial sampling or hysteroscopy with biopsy and results during the 12 months before the index date of the endometrial ablation.The code's purpose is to monitor adherence to guidelines recommending pre-ablation evaluation to assess for hyperplasia or malignancy.
Example 1: A patient undergoes endometrial ablation.Review of the medical record shows no evidence of endometrial sampling or hysteroscopy in the 12 months prior to the procedure.G9824 is reported., A patient has an endometrial ablation.A hysteroscopy was performed 13 months prior. G9824 would not be reported in this scenario. , A patient has an endometrial ablation performed.A previous endometrial sampling with biopsy and results (within 12 months of the index date of the endometrial ablation) exists, however the physician did not document it in the patient's chart. G9824 would be reported.
Documentation must clearly show the absence of an endometrial sampling or hysteroscopy with biopsy and results within the 12 months prior to the index date of endometrial ablation.This might involve review of previous medical records, operative reports, and pathology reports.
** This code is not for reimbursement; it is a quality measure tracking code used for reporting and analysis. The index date should be defined according to the specific program guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient