Documentation stating the patient has an active diagnosis of depression or has a diagnosed bipolar disorder, therefore screening or follow-up not required
HCPCS code
Procedure Documentation for HCPCS Code G9717
Name of the Procedure:
- Common Name: Depression/Bipolar Disorder Verification
- Medical Term: G9717- Screening or Follow-up for Depression/Bipolar Disorder Not Required due to Active Diagnosis
Summary
The documentation of HCPCS code G9717 indicates that the patient has a current diagnosis of either depression or bipolar disorder. As a result, any further screening or follow-up for these conditions is deemed unnecessary.
Purpose
This documentation ensures that healthcare providers recognize an existing diagnosis of depression or bipolar disorder in a patient's medical records. Its goals are to:
- Prevent redundant screenings or follow-up procedures.
- Streamline patient care by acknowledging pre-existing mental health conditions.
Indications
The documentation is warranted for:
- Patients with a previously confirmed and active diagnosis of depression.
- Patients with a previously confirmed and active diagnosis of bipolar disorder.
Patient criteria:
- Accurate and verified clinical diagnosis made by a qualified healthcare provider.
Preparation
No specific preparation is required as this documentation is based on pre-existing medical records.
Procedure Description
- Review the patient's medical records for an active diagnosis of depression or bipolar disorder.
- Document the existing diagnosis using HCPCS code G9717.
- Ensure the patient's electronic health record is updated to reflect this documentation.
Tools and Equipment:
- Computer or tablet for electronic health records.
- Access to the patient's full medical history.
Duration
The documentation process typically takes a few minutes, depending on access to patient records.
Setting
This procedure is performed in any healthcare setting where patient records are reviewed, including:
- Hospitals
- Outpatient clinics
- Primary care offices
Personnel
- Healthcare providers such as doctors, nurses, or medical coders.
Risks and Complications
This documentation process is risk-free as it involves no physical intervention. Common risks mainly pertain to clerical errors, such as:
- Misdocumentation of the diagnosis.
- Inaccurate medical records.
Benefits
- Ensures appropriate patient care by avoiding unnecessary screenings.
- Saves time and resources for both patients and healthcare providers.
- Helps in maintaining accurate and up-to-date medical records.
Recovery
No recovery is needed as no physical procedure is carried out.
Alternatives
- Routine screening: The standard practice of regular screening for depression or bipolar disorder, which may be redundant for patients with an existing diagnosis.
- Pros: Continual monitoring of mental health status.
- Cons: Unnecessary for patients with a confirmed diagnosis, potentially causing unnecessary stress and healthcare expenses.
Patient Experience
During Procedure:
- The patient might be asked simple questions to confirm their existing diagnosis.
After Procedure:
- No physical effects or recovery process is involved. Pain Management and Comfort Measures:
- Not applicable as the process is non-invasive.