Summary & Overview
HCPCS G9923: Safety Concerns Screen, Negative
HCPCS Level II code G9923 identifies a documented safety-concerns screening with negative findings. As a brief assessment code used in outpatient and ambulatory settings, it captures a clinician’s screening for potential safety risks (for example, household hazards, fall risk, or interpersonal safety issues) when no concerns are detected. The code matters nationally as payers increasingly require discrete documentation of preventive and screening activities for quality reporting and claims adjudication.
Key payers evaluated include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical intent and typical use, plus what to expect in payer coverage considerations and coding workflows. The publication outlines common modifiers associated with this code (listed for operational awareness) and notes when input data are not available for fields such as associated taxonomies or ICD-10 pairings.
This report is intended for billing managers, compliance officers, and clinicians who need a national-level summary of the code’s purpose, service setting, and payer relevance. The content provides clear context for documentation, indicates typical sites of service, and highlights where additional local payer policies may affect reimbursement or reporting.
Billing Code Overview
HCPCS Level II code G9923 denotes a safety concerns screen provided and negative. This code represents a brief screening service in which a clinician assesses a patient for safety risks (for example, domestic safety, fall risk, environmental hazards) and documents that a screening was performed with negative findings — meaning no safety concerns were identified at the time of the visit.
Service type: Safety screening (preventive/assessment service)
Typical site of service: Outpatient clinic or ambulatory care setting
Clinical & Coding Specifications
Clinical Context
A community-based primary care clinic performs a standardized safety concerns screen during routine visits for adult and geriatric patients. A 72-year-old patient presents for an annual wellness visit and completes a brief screening questionnaire and nurse-led interview about home safety, fall risk, medication-related safety concerns, and potential elder abuse. The screening is documented in the electronic health record, reviewed by the clinician, and found negative for immediate safety risks. No additional interventions, extended counseling, or referrals are initiated based on the negative screen. The service is billed as G9923 to indicate the safety concerns screen was provided and results were negative. Typical workflow: patient completes screen; nursing staff review and flag any positive responses; clinician verifies negative findings, documents the screening tool used, time, and conclusion; billing posts G9923 with any applicable modifier to reflect encounter circumstances.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when substantially greater physician work is required documenting or performing the screening beyond typical expectations (rare for a negative screen). |