HCPCS 2014

G0428 Collagen meniscus implant procedure for filling meniscal defects (e.g. cmi, collagen scaffold, menaflex)
G0429 Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g. as a result of highly active antiretroviral therapy)
G0431 Drug screen, qualitative; multiple drug classes by high complexity test method (e.g. immunoassay, enzyme assay), per patient encounter
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening
G0434 Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening
G0436 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes
G0437 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G0442 Annual alcohol misuse screening, 15 minutes
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
G0444 Annual depression screening, 15 minutes
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
G0461 Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain
G0447 Face-to-face behavioral counseling for obesity, 15 minutes
G0462 Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)
G0448 Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing
G0463 Hospital outpatient clinic visit for assessment and management of a patient
G9187 Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code
G0450 Screening for sexually transmitted infections, including laboratory tests for chlamydia, gonorrhea, syphilis and Hepatitis B
G9188 Beta-blocker therapy not prescribed, reason not given
G0451 Development testing, with interpretation and report, per standardized instrument form
G0452 Molecular pathology procedure; physician interpretation and report
G9189 Beta-blocker therapy prescribed or currently being taken
G0453 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
G9190 Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, allergy, intolerance, other medical reasons)
G9191 Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)
G0454 Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist
G9192 Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the health care system)
G0455 Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
G9193 Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis of major depression
G0456 Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area less than or equal to 50 square centimeters
G9194 Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase
G0457 Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters
G9195 Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phase
G0458 Low dose rate (ldr) prostate brachytherapy services, composite rate
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
G9196 Documentation of medical reason(s) for not ordering first or second generation cephalosporin for antimicrobial prophylaxis
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G0466 A medically-necessary, face to face encounter( one- on- one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit.
G0467 A medically-necessary, face to face encounter( one- on- one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit.
G9198 Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given
G0468 A FQHC visit that includes an Initial Preventive Physical Examination (IPPE) or Annual Wellness Visit (AWV) and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV
G9199 Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s))
G0469 A medically-necessary, face-to-face mental health encounter(one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare covered services that would be furnished per diem to a patient receiving a mental health visit.
G9200 Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given
G0470 A medically-necessary, face-to-face mental health encounter(one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare covered services that would be furnished per diem to a patient receiving a mental health visit.
G9201 Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission
G9202 Patients with a positive hepatitis c antibody test
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)
G0908 Most recent hemoglobin (hgb) level > 12.0 g/dl
G9203 Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
G0909 Hemoglobin level measurement not documented, reason not given
G9204 Rna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
G0910 Most recent hemoglobin level <= 12.0 g/dl
G9205 Patient starting antiviral treatmentfor hepatitis c during the measurement period
G9206 Patient starting antiviral treatment for hepatitis c during the measurement period
G0913 Improvement in visual function achieved within 90 days following cataract surgery
G0914 Patient care survey was not completed by patient
G9207 Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
G9208 Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
G0915 Improvement in visual function not achieved within 90 days following cataract surgery
G0916 Satisfaction with care achieved within 90 days following cataract surgery
G9209 Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment
G0917 Patient satisfaction survey was not completed by patient
G9210 Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for reasons documented by clinician (eg, patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)
G0918 Satisfaction with care not achieved within 90 days following cataract surgery
G9211 Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not given
G0919 Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
G9212 Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation
G9213 Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
G0920 Type, anatomic location, and activity all documented
G0921 Documentation of patient reason(s) for not being able to assess (e.g. patient refuses endoscopic and/or radiologic assessment)
G9214 Cd4+ cell count or cd4+ cell percentage results documented
G9215 Cd4+ cell count or percentage not documented as performed, reason not given
G0922 No documentation of disease type, anatomic location, and activity, reason not given
G9216 Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
G3001 Administration and supply of tositumomab, 450 mg
G9217 Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
G8923 Left ventricular ejection fraction (lvef) < 40% or documentation of moderately or severely depressed left ventricular systolic function
G9218 Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given
G8924 Spirometry test results demonstrate fev1/fvc <60% with copd symptoms (e.g. dyspnea, cough/sputum, wheezing)
G8925 Spirometry test results demonstrate fev1/fvc >=60% or patient does not have copd symptoms
G9219 Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient''s cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient''s cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
G8926 Spirometry test not performed or documented, reason not given
G9220 Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient''s cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient''s cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
G8927 Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer
G9221 Pneumocystis jiroveci pneumonia prophlaxis prescribed
G8928 Adjuvant chemotherapy not prescribed or previously received, reason given
G9222 Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3
G9223 Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%
G8929 Adjuvant chemotherapy not prescribed or previously received, reason not given
G9224 Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)
G8930 Assessment of depression severity not documented, reason not given
G9225 Foot exam was not performed, reason not given
G8931 Assessment of depression severity not documented, reason not given
G8932 Suicide risk assessed at the initial evaluation
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with monofilament, and pulse exam - report when all of the 3 components are completed)
G9227 Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan
G8933 Suicide risk not assessed at the initial evaluation, reason not given
G8934 Left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function
G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
G9229 Chlamydia, gonorrhea, and syphilis not screened, due to documented reason (patient refusal is the only allowed exclusion)
G9230 Chlamydia, gonorrhea, and syphilis not screened, reason not given
G8936 Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant or pregnancy
G8937 Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given
G8938 Bmi is calculated, but patient not eligible for follow-up plan
G9232 Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason
G9233 All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient
G8939 Pain assessment documented, follow-up plan not documented, patient not eligible/appropriate
G8940 Screening for clinical depression documented, follow-up plan not documented, patient not eligible/appropriate
G9234 I intend to report the total knee replacement measures group
G8941 Elder maltreatment screen documented, patient not eligible for follow-up
G9235 All quality actions for the applicable measures in the general surgery measures group have been performed for this patient
G8942 Documented functional outcomes assessment and care plan within the previous 30 days
G9236 All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient
G8943 Ldl-c result not present or not within 12 months prior
G9237 I intend to report the general surgery measures group
G9238 I intend to report the optimizing patient exposure to ionizing radiation measures group
G8944 Ajcc melanoma cancer stage 0 through iic melanoma
G9239 Documentation of reasons for patient initiaiting maintenance hemodialysis with a catheter as the mode of vascular access (eg, patient has a maturing avf/avg, time-limited trial of hemodialysis, patients undergoing palliative dialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
G8946 Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g. high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular carcinoma in situ, atypical columnar hyperplasica, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)
G8947 One or more neuropsychiatric symptoms
G9240 Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated
G8948 No neuropsychiatric symptoms
G9241 Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated
G9242 Documentation of viral load equal to or greater than 200 copies/ml
G8949 Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g. patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)
G8950 Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up documented
G9243 Documentation of viral load less than 200 copies/ml
G8951 Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, patient not eligible/not appropriate
G9244 Antiretroviral thereapy not prescribed
G9245 Antiretroviral therapy prescribed
G8952 Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
G8953 All quality actions for the applicable measures in the oncology measures group have been performed for this patient
G9246 Patient did not have at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits
G8955 Most recent assessment of adequacy of volume management
G9247 Patient had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits
G9248 Patient did not have a medical visit in the last 6 months
G8956 Patient receiving maintenance hemodialysis in an outpatient dialysis facility
G8957 Patient not receiving maintenance hemodialysis in an outpatient dialysis facility
G9249 Patient had a medical visit in the last 6 months
G8958 Assessment of adequacy of volume management not documented, reason not given
G9250 Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment
G8959 Clinician treating major depressive disorder communicates to clinician treating comorbid condition
G9251 Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
G8960 Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given
G9252 Adenoma(s) or other neoplasm detected during screening colonoscopy
G8961 Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
G9253 Adenoma(s) or other neoplasm not detected during screening colonoscopy
G8962 Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
G9254 Documentation of patient discharged to home later than post-operative day 2 following cas
G9255 Documentation of patient discharged to home no later than post operative day 2 following cas
G8963 Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years
G9256 Documentation of patient death following cas
G8964 Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.G. , symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)
G9257 Documentation of patient stroke following cas
G8965 Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment
G8966 Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment
G9258 Documentation of patient stroke following cea
G9259 Documentation of patient survival and absence of stroke following cas
G8967 Warfarin or another oral anticoagulant that is fda approved prescribed
G9260 Documentation of patient death following cea
G8968 Documentation of medical reason(s) for not prescribing warfarin or another oral anticoagulant that is fda approved not prescribed (e.g. allergy, risk of bleeding, transient or reversible causes of atrial fibrillation, other medical reasons including, but not limited to pregnancy, mitral stenosis, prosthetic heart valve or patient is in the postoperative period)
G9261 Documentation of patient survival and absence of stroke following cea
G8969 Documentation of patient reason(s) for not prescribing warfarin or another oral anticoagulant that is fda approved (e.g. economic, social, and/or religious impediments, noncompliance or patient refusal, other patient reasons)
G9262 Documentation of patient death in the hospital following endovascular aaa repair
G8970 No risk factors or one moderate risk factor for thromboembolism
G9263 Documentation of patient survival in the hospital following endovascular aaa repair
G8971 Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given
G8972 One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism
G9264 Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (eg, patient is undergoing palliative dialysis with a catheter, patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant, other medical reasons, patient declined avf/avg, other patient reasons)
G8973 Most recent hemoglobin (hgb) level < 10 g/dl
G9265 Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access
G8974 Hemoglobin level measurement not documented, reason not given
G9266 Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access
G9267 Documentation of patient with one or more complications or mortality within 30 days
G8975 Documentation of medical reason(s) for patient having a hemoglobin level < 10 g/dl (e.g. patients who have non-renal etiologies of anemia [e.g. sickle cell anemia or other hemoglobinopathies, hypersplenism, primary bone marrow disease, anemia related to chemotherapy for diagnosis of malignancy, postoperative bleeding, active bloodstream or peritoneal infection], other medical reasons)
G9268 Documentation of patient with one or more complications within 90 days
G8976 Most recent hemoglobin (hgb) level >= 10 g/dl
G9269 Documentation of patient without one or more complications and without mortality within 30 days
G8977 I intend to report the oncology measures group
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals
G9270 Documentation of patient without one or more complications within 90 days
G9271 Ldl value < 100
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting
G9272 Ldl value >= 100
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals
G9274 Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8983 Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting
G9275 Documentation that patient is a current non-tobacco user
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals
G9276 Documentation that patient is a current tobacco user
G8985 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals
G9277 Documentation that the patient is on daily aspirin or has documentation of a valid contraindication to aspirin automatic contraindications include anti-coagulant use, allergy, and history of gastrointestinal bleed; additionally, any reason documented by the physician as a reason for not taking daily aspirin is acceptable (examples include non-steroidal anti-inflammatory agents, risk for drug interaction, or uncontrolled hypertension defined as > 180 systolic or > 110 diastolic)
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting
G9278 Documentation that the patient is not on daily aspirin regimen
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals
G9279 Pneumococcal screening performed and documentation of vaccination received prior to discharge
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9280 Pneumococcal vaccination not administered prior to discharge, reason not specified
G9281 Screening performed and documentation that vaccination not indicated/patient refusal
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting
G8990 Other physical or occupational primary functional limitation, current status, at therapy episode outset and at reporting intervals
G9282 Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)
G8991 Other physical or occupational primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9283 Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
G9284 Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation
G8992 Other physical or occupational primary functional limitation, discharge status, at discharge from therapy or to end reporting
G9285 Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer
G8993 Other physical or occupational subsequent functional limitation, current status, at therapy episode outset and at reporting intervals
G8994 Other physical or occupational subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9286 Documentation of antibiotic regimen prescribed within 7 days of diagnosis or within 10 days after onset of symptoms
G9287 No antibiotic regimen prescribed within 7 days of diagnosis or within 10 days after onset of symptoms
G8995 Other physical or occupational subsequent functional limitation, discharge status, at discharge from therapy or to end reporting
G9288 Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons )
G8996 Swallowing functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9289 Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
G8997 Swallowing functional limitation, projected goal status, at initial therapy treatment/outset and at discharge from therapy
G9290 Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation
G8998 Swallowing functional limitation, discharge status, at discharge from therapy/end of reporting on limitation
G9291 Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos
G8999 Motor speech functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9143 Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)
G9292 Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)
G9293 Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
G9147 Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration
G9148 National committee for quality assurance - level i medical home
G9294 Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
G9295 Specimen site other than anatomic cutaneous location
G9149 National committee for quality assurance - level 2 medical home
G9150 National committee for quality assurance - level 3 medical home
G9296 Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy prior to the procedure
G9297 Shared decision-making including discussion of conservative (non-surgical) therapy prior to the procedure not documented, reason not given
G9151 Mapcp demonstration - state provided services
G9152 Mapcp demonstration - community health teams
G9298 Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure including history of dvt, pe, mi, arrhythmia and stroke
G9153 Mapcp demonstration - physician incentive pool
G9299 Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure including history of dvt, pe, mi, arrhythmia and stroke, reason not given
G9156 Evaluation for wheelchair requiring face to face visit with physician
G9300 Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)
G9301 Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet
G9157 Transesophageal doppler use for cardiac monitoring
G9158 Motor speech functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9302 Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given
G9303 Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of the prosthetic implant, reason not given
G9159 Spoken language comprehension functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9304 Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of the prosthetic implant
G9160 Spoken language comprehension functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9161 Spoken language comprehension functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9305 Intervention for presence of leak of endoluminal contents through an anastomosis not required
G9162 Spoken language expression functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9306 Intervention for presence of leak of endoluminal contents through an anastomosis required
G9307 No return to the operating room for a surgical procedure, for any reason, within 30 days of the principal operative procedure
G9163 Spoken language expression functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9308 Unplanned return to the operating room for a surgical procedure, for any reason, within 30 days of the principal operative procedure
G9164 Spoken language expression functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9309 No unplanned hospital readmission within 30 days of principal procedure
G9165 Attention functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9166 Attention functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9310 Unplanned hospital readmission within 30 days of principal procedure
G9167 Attention functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9311 No surgical site infection
G9168 Memory functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9312 Surgical site infection
G9313 Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason (eg, cystic fibrosis, immotile cilia disorders, ciliary dyskinesia, immune deficiency, prior history of sinus surgery within the past 12 months, and anatomic abnormalities, such as deviated nasal septum, resistant organisms, allergy to medication, recurrent sinusitis, chronic sinusitis, or other reasons)
G9169 Memory functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9170 Memory functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9314 Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given
G9171 Voice functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9315 Documentation amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis
G9172 Voice functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9316 Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family
G9317 Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed
G9173 Voice functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9318 Imaging study named according to standardized nomenclature
G9174 Other speech language pathology functional limitation, current status at time of initial therapy treatment/episode outset and reporting intervals
G9175 Other speech language pathology functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9319 Imaging study not named according to standardized nomenclature, reason not given
G9320 Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9176 Other speech language pathology functional limitation, discharge status at discharge from therapy/end of reporting on limitation
G9321 Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion) studies documented in the 12-month period prior to the current study
G9186 Motor speech functional limitation, projected goal status at initial therapy treatment/outset and at discharge from therapy
G9322 Count of previous ct and cardiac nuclear medicine (myocardial perfusion) studies not documented in the 12-month period prior to the current study, reason not given
G0168-G0177 Wound Closure
G0173-G0177 Stereotactic Radiosurgery
G9323 Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G0175-G0177 Team Conference
G9324 All necessary data elements not included, reason not given
G9325 Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G0179-G0182 Physician Services
G9326 Ct studies performed not reported to a radiation dose index registry, reason not given
G0333-G0340 Pharmacy Fees
G9327 Ct studies performed reported to a radiation dose index registry with all necessary data elements
G0281-G0283 Electrical Stimulation
G0337-E8002 Hospice
G9328 Dicom format image data availability not documented in final report due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9329 Dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given
G0288-G0289 Angiography and Arthroscopy
G9340 Final report documented that dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study
Transcatheter Placement
G9341 Search conducted for prior patient ct imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed
G0120-G0122 Screening Service, Colorectal, Other
G8006-G9139 Physician Quality Reporting Indicator Code
G9342 Search conducted for prior patient imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed not completed, reason not given
G9343 Search for prior patient completed dicom format images not completed due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9140-L4631 CMS Demonstration Project
G9344 Search for prior patient completed dicom format images not completed due to system reasons (ie, facility does not have archival abilities through a shared archival system)
H1N1 Administration and Vaccine
G9345 Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules (eg, follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors documented
G0248-G0250 Demonstration, INR
G0257-G0260 Emergency Dialysis
G9346 Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg, patients with known malignant disease, patients with unexplained fever, ct studied performed for radiation treatment planning or image-guided radiation treatment delivery)
G0259-G0260 Arthrography Injection
G9347 Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented, reason not given
G0268-G0271 Cerumen Removal
G9348 Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons (eg, persons with sinusitis symptoms lasting at least 7 to 10 days, antibiotic resistance, immunocompromised, recurrent sinusitis, acute frontal sinusitis, acute sphenoid sinusitis, periorbital cellulitis, or other medical)
G9349 Documentation of a ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
G0269-G0271 Placement of Occlusive Device
G0270-G0271 Nutrition Therapy
G9350 Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis
G0275-G0278 Angiography
G9351 More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
G9352 More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
G0364-G0372 Bone Marrow Aspiration
G0365-G0372 Vessel Mapping
G9353 More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
G0378-G0384 Hospital Services
G9354 More than one ct scan of the paranasal sinuses not ordered within 90 days after the date of diagnosis
G0389-G0397 Ultrasound Scan for AAA
G9355 Elective delivery or early induction not performed
G0202-G0206 Mammography
G9356 Elective delivery or early induction performed
G9357 Post-partum screenings, evaluations and education performed
G0390-G0397 Trauma Response Services
G0219-G0235 PET Imaging
G9358 Post-partum screenings, evaluations and education not performed
G0398-G0400 Substance Abuse Assessment and Intervention
G9359 Documentation of negative or managed positive tb screen with further evidence that tb is not active
G0402-G0405 Home Sleep Study Test
G9360 No documentation of negative or managed positive tb screen
G0252-G0260 Additional PET Imaging
G0403-G0405 Preventive Examination
G0406-G0408 Electrocardiogram
G0409-G0411 Telehealth Followup
G0412-G0415 Psychological Services
G0416-G0419 Bone Treatment
G0245-G0246 Physician Services, Diabetic
G0341-G0343 Islet Cell Transplant
G0251-V2025 Stereotactic Radiosurgery
G0293-G0294 Non-covered Procedures
G0302-G0305 Pulmonary Surgery Services
G0306-G0328 Laboratory Services
G0027-G0103 Semen Analysis
G0420-G0421 Surgical Pathology
G0329-G0340 Electromagnetic Therapy
G0422-G0424 Educational Services
G0339-G0340 Robotic Radiosurgery
Telehealth Consultation
G0008-G0010 Vaccine Adminstration
G0255-G0260 Sensory Nerve Conduction Testing
G0176-G0177 Activity Therapy
G0237-G0239 Therapeutic Procedures
G0101-G0103 Cervical Screening
G0102-G0103 Screening Services, Prostate
G0104-G0106 Screening Services, Colorectal
G0108-G0109 Training Services, Diabetes
G0117-G0118 Screening Services, Glaucoma
G0425-G0427 Rehabilitation Services
G0247-G0250 Diabetic Foot Care
G0186-G0206 Destruction
G0295-G0305 Electromagnetic Therapy
G0123-G0124 Screening Services, Cytopathology
G0127-G0129 Nail Trimming
G0128-G0129 Services, Nursing and Occupational Therapy
G0130-G0148 SEXA Study
G0141-G0148 Screening Services, Cytopathology, Other
G0151-G0166 Allied Health Services