Summary & Overview
HCPCS G9262: In-hospital Death After Endovascular AAA Repair
HCPCS Level II code G9262 designates documentation of in-hospital patient death following endovascular repair of an abdominal aortic aneurysm (AAA). As a focused encounter-level code, it supports accurate clinical records, administrative reporting, and mortality tracking for a high-risk vascular procedure. Accurate capture of this event has implications for clinical quality measurement, institutional mortality review, and administrative completeness.
Key national payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the codes clinical context, typical site of service, and service type. The publication also summarizes how payers commonly treat documentation-only HCPCS Level II codes, presents benchmarking context where available, and highlights relevant policy and coding guidance applicable at a national level.
This summary provides clinicians, coding professionals, and administrators with the information needed to understand the purpose of G9262, its clinical setting, and what aspects of reporting and review it influences. Data not available in the input are noted where specific payer policies or related taxonomies would be expected.
Billing Code Overview
HCPCS Level II code G9262 documents patient death in the hospital following endovascular AAA repair. This code captures the event of in-hospital mortality specifically associated with an endovascular repair procedure for an abdominal aortic aneurysm (AAA).
-
Service type: In-hospital mortality documentation related to endovascular AAA repair
-
Typical site of service: Hospital inpatient setting
Clinical & Coding Specifications
Clinical Context
A 78-year-old male with a 6.5 cm infrarenal abdominal aortic aneurysm (AAA) undergoes an urgent endovascular aneurysm repair (EVAR) in the hospital interventional suite. The procedure is performed under monitored anesthesia care by a vascular surgeon and interventional radiology team. Post-procedure the patient is transferred to the intensive care unit for hemodynamic monitoring. During the initial postoperative period the patient develops refractory hemorrhagic shock and multisystem organ failure despite resuscitation, blood product administration, and attempted interventions. Death is pronounced in the hospital by the responsible physician. Documentation of the in-hospital death following endovascular AAA repair is recorded in the medical record, operative note, anesthesia record, and the hospital death summary. Relevant clinical workflow steps include procedural documentation (operative report and device implantation details), postoperative progress notes, consultant notes, resuscitation and code records if applicable, pronouncement and time of death entries, organ/tissue donation discussion documentation if performed, and completion of the discharge/death summary for billing and mortality reporting purposes.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased Procedural Services | Use when work or complexity substantially greater than typical for the service (e.g., extensive additional procedure time during EVAR). |