HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• G9543

  Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement

• G9544

  Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement

• G9547

  Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols

• G9548

  Final reports for imaging studies stating no follow-up imaging is recommended

• G9549

  Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s))

• G9550

  Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up

• G9551

  Final reports for imaging studies without an incidentally found lesion noted

• G9552

  Incidental thyroid nodule < 1.0 cm noted in report

• G9553

  Prior thyroid disease diagnosis

• G9554

  Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommended

• G9555

  Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s))

• G9556

  Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended

• G9557

  Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found

• G9558

  Patient treated with a beta-lactam antibiotic as definitive therapy

• G9559

  Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic (e.g., allergy, intolerance to beta-lactam antibiotics)

• G9560

  Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given

• G9561

  Patients prescribed opiates for longer than six weeks

• G9562

  Patients who had a follow-up evaluation conducted at least every three months during opioid therapy

• G9563

  Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy

• G9572

  Index date phq-score greater than 9 documented during the twelve month denominator identification period

• G9573

  Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five

• G9574

  Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five; either phq-9 or phq-9m score was not assessed or is greater than or equal to five

• G9577

  Patients prescribed opiates for longer than six weeks

• G9578

  Documentation of signed opioid treatment agreement at least once during opioid therapy

• G9579

  No documentation of signed an opioid treatment agreement at least once during opioid therapy

• G9580

  Door to puncture time of 90 minutes or less

• G9581

  Door to puncture time of greater than 2 hours for reasons documented by clinician (e.g., patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment; hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment)

• G9582

  Door to puncture time of greater than 90 minutes, no reason given

• G9583

  Patients prescribed opiates for longer than six weeks

• G9584

  Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy

• G9585

  Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy

• G9593

  Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules

• G9594

  Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider

• G9595

  Patient has documentation of ventricular shunt, brain tumor, or coagulopathy

• G9596

  Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma

• G9597

  Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules

• G9598

  Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct

• G9599

  Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct

• G9600

  Symptomatic aaas that required urgent/emergent (non-elective) repair

• G9601

  Patient discharge to home no later than post-operative day #7

• G9602

  Patient not discharged to home by post-operative day #7

• G9603

  Patient survey score improved from baseline following treatment

• G9604

  Patient survey results not available

• G9605

  Patient survey score did not improve from baseline following treatment

• G9606

  Intraoperative cystoscopy performed to evaluate for lower tract injury

• G9607

  Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death

• G9608

  Intraoperative cystoscopy not performed to evaluate for lower tract injury

• G9609

  Documentation of an order for anti-platelet agents

• G9610

  Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents

• G9611

  Order for anti-platelet agents was not documented in the patient's record, reason not given