Summary & Overview
HCPCS G9774: Patient Status, Post-Hysterectomy
HCPCS Level II code G9774 identifies patients who have had a hysterectomy. Nationally, clear coding of post-hysterectomy status matters for appropriate clinical documentation, care coordination, and accurate claims classification across outpatient and ambulatory surgical settings. Use of this HCPCS Level II code supports consistent recognition of surgical history in care pathways and administrative records.
Key payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code’s clinical context, typical sites of service, and the value of documenting hysterectomy status for care delivery and billing workflows. The publication also summarizes common modifiers and typical payer considerations where available, offers benchmarking context when present, and highlights areas where data was not provided.
This national summary is intended for billing managers, revenue cycle professionals, and clinical coders seeking a clear description of HCPCS Level II code G9774, its clinical relevance, and the administrative contexts in which it is most frequently used.
Billing Code Overview
HCPCS Level II code G9774 denotes patients who have had a hysterectomy. This designation is used to identify clinical encounters and services related to patients with a history of hysterectomy.
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Service type: Surgical follow-up and gynecologic care related to prior hysterectomy
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Typical site of service: Outpatient gynecology clinics, postoperative follow-up visits, and ambulatory surgical centers
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a woman with a documented history of hysterectomy presenting for follow-up care, postoperative surveillance, or related gynecologic evaluation. Scenarios include routine postoperative visits after an abdominal, laparoscopic, or vaginal hysterectomy; evaluation for postoperative complications such as wound infection, pelvic pain, or vaginal cuff granulation; screening or management of urologic or pelvic floor symptoms that may be sequelae of hysterectomy; or pre-procedure evaluation for related pelvic reconstructive procedures. The clinical workflow begins with outpatient scheduling, eligibility and benefits verification, focused history and physical emphasizing prior hysterectomy details (date, surgical approach, indications), review of operative and pathology reports, targeted pelvic exam, ordering of imaging or laboratory tests as indicated, documentation of counseling and care plan, and coding/billing using G9774 to indicate the patient has had a hysterectomy. Common encounters occur in gynecology or primary care clinics, ambulatory surgical centers for minor procedures related to hysterectomy sequelae, and hospital outpatient departments for more complex evaluations or interventions.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work required to provide service is substantially greater than typically required. |