HCPCS G-Codes
Procedures/Professional Services (Temporary Codes)

Temporary G codes are assigned to services and procedures that are under review before being included in the CPT coding system. Payment for these services is under the jurisdiction of the local carriers.

• G2198

  Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons)

• G2199

  Patient not screened for unhealthy alcohol use using a systematic screening method

• G2200

  Patient identified as an unhealthy alcohol user received brief counseling

• G2201

  Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)

• G2202

  Patient did not receive brief counseling if identified as an unhealthy alcohol user

• G2203

  Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)

• G2204

  Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period

• G2205

  Patients with pregnancy during adjuvant treatment course

• G2206

  Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy

• G2207

  Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)

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  Continued

• G2208

  Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy

• G2209

  Patient refused to participate

• G2210

  Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given

• G2211

  Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)

• G2212

  Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)

• G2213

  Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)

• G2214

  Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional

• G2215

  Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

• G2216

  Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

• G2250

  Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment

• G2251

  Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion

• G2252

  Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion

• G3001

  Administration and supply of tositumomab, 450 mg

• G3002

  Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)

• G3003

  Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)

• G4000

  Dermatology mips specialty set

• G4001

  Diagnostic radiology mips specialty set

• G4002

  Electrophysiology cardiac specialist mips specialty set

• G4003

  Emergency medicine mips specialty set

• G4004

  Endocrinology mips specialty set

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  Continued

• G4005

  Family medicine mips specialty set

• G4006

  Gastro-enterology mips specialty set

• G4007

  General surgery mips specialty set

• G4008

  Geriatrics mips specialty set

• G4009

  Hospitalists mips specialty set

• G4010

  Infectious disease mips specialty set

• G4011

  Internal medicine mips specialty set

• G4012

  Interventional radiology mips specialty set

• G4013

  Mental/behavioral and psychiatry mips specialty set

• G4014

  Nephrology mips specialty set

• G4015

  Neurology mips specialty set

• G4016

  Neurosurgical mips specialty set

• G4017

  Nutrition/dietician mips specialty set

• G4018

  Obstetrics/gynecology mips specialty set

• G4019

  Oncology/hematology mips specialty set

• G4020

  Ophthalmology/optometry mips specialty set

• G4021

  Orthopedic surgery mips specialty set

• G4022

  Otolaryngology mips specialty set

• G4023

  Pathology mips specialty set

• G4024

  Pediatrics mips specialty set