HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• G9430

  Specimen site other than anatomic cutaneous location

• G9431

  Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors

• G9432

  Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented

• G9433

  Death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement period

• G9434

  Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given

• G9435

  Aspirin prescribed at discharge

• G9436

  Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)

• G9437

  Aspirin not prescribed at discharge

• G9438

  P2y inhibitor prescribed at discharge

• G9439

  P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)

• G9440

  P2y inhibitor not prescribed at discharge

• G9441

  Statin prescribed at discharge

• G9442

  Statin not prescribed for documented reasons (e.g., allergy, medical intolerance)

• G9443

  Statin not prescribed at discharge

• G9448

  Patients who were born in the years 1945 to 1965

• G9449

  History of receiving blood transfusions prior to 1992

• G9450

  History of injection drug use

• G9451

  Patient received one-time screening for hcv infection

• G9452

  Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy

• G9453

  Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)

• G9454

  One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given

• G9455

  Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc

• G9456

  Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)

• G9457

  Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period

• G9458

  Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user

• G9459

  Currently a tobacco non-user

• G9460

  Tobacco assessment or tobacco cessation intervention not performed, reason not given

• G9463

  I intend to report the sinusitis measures group

• G9464

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

• G9465

  I intend to report the acute otitis externa (aoe) measures group

• G9466

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

• G9467

  Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months

• G9468

  Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

• G9469

  Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days or a single prescription equating to 900 mg prednisone or greater for all fills

• G9470

  Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

• G9471

  Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented

• G9472

  Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed

• G9473

  Services performed by chaplain in the hospice setting, each 15 minutes

• G9474

  Services performed by dietary counselor in the hospice setting, each 15 minutes

• G9475

  Services performed by other counselor in the hospice setting, each 15 minutes

• G9476

  Services performed by volunteer in the hospice setting, each 15 minutes

• G9477

  Services performed by care coordinator in the hospice setting, each 15 minutes

• G9478

  Services performed by other qualified therapist in the hospice setting, each 15 minutes

• G9479

  Services performed by qualified pharmacist in the hospice setting, each 15 minutes

• G9480

  Admission to medicare care choice model program (mccm)

• G9481

  Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

• G9482

  Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

• G9483

  Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

• G9484

  Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

• G9485

  Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology