HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • G8600

    Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well

  • G8601

    Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)

  • G8602

    Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given

  • G8627

    Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)

  • G8628

    Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)

  • G8629

    Documentation of order for prophylactic parenteral antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)

  • G8630

    Documentation that administration of prophylactic parenteral antibiotics was initiated within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required), as ordered

  • G8631

    Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)

  • G8632

    Prophylactic parenteral antibiotics were not ordered to be given or given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required), reason not given

  • G8633

    Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed

  • G8634

    Clinician documented patient not an eligible candidate to receive pharmacologic therapy for osteoporosis

  • G8635

    Pharmacologic therapy for osteoporosis was not prescribed, reason not given

  • G8645

    I intend to report the asthma measures group

  • G8646

    All quality actions for the applicable measures in the asthma measures group have been performed for this patient

  • G8647

    Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8648

    Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)

  • G8649

    Risk-adjusted functional status change residual score for the knee impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8650

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

  • G8651

    Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8652

    Residual score for the hip impairment successfully calculated and the score was less than zero (< 0)

  • G8653

    Risk-adjusted functional status change residual scores for the hip impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8654

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

  • G8655

    Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)

  • G8656

    Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)

  • G8657

    Risk-adjusted functional status change residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8658

    Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given

  • G8659

    Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8660

    Residual score for the low back impairment successfully calculated and the score was less than zero (< 0)

  • G8661

    Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8662

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

  • G8663

    Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8664

    Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0)

  • G8665

    Risk-adjusted functional status change residual score for the shoulder impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8666

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

  • G8667

    Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8668

    Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)

  • G8669

    Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8670

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

  • G8671

    Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)

  • G8672

    Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< 0)

  • G8673

    Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate

  • G8674

    Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general orthopedic fs prom at initial evaluation and/or near discharge, reason not given

  • G8682

    Lvf testing documented as being performed prior to discharge or in the previous 12 months

  • G8683

    Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason

  • G8685

    Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given

  • G8694

    Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd

  • G8696

    Antithrombotic therapy prescribed at discharge

  • G8697

    Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))

  • G8698

    Antithrombotic therapy was not prescribed at discharge, reason not given

  • G8699

    Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge