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

  • G9662

    Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure

  • G9663

    Any ldl-c laboratory result >= 190 mg/dl

  • G9664

    Patients who are currently statin therapy users or received an order (prescription) for statin therapy

  • G9665

    Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy

  • G9666

    Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl

  • G9667

    Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)

  • G9669

    I intend to report the multiple chronic conditions measures group

  • G9670

    All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient

  • G9671

    I intend to report the diabetic retinopathy measures group

  • G9672

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

  • G9673

    I intend to report the cardiovascular prevention measures group

  • G9674

    Patients with clinical ascvd diagnosis

  • G9675

    Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl

  • G9676

    Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period

  • G9677

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

  • G9678

    Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement

  • G9679

    This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary

  • G9680

    This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary

  • G9681

    This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary

  • G9682

    This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary

  • G9683

    Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project

  • G9684

    This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary

  • G9685

    Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project

  • G9686

    Onsite nursing facility conference, that is separate and distinct from an evaluation and management visit, including qualified practitioner and at least one member of the nursing facility interdisciplinary care team

  • G9687

    Hospice services provided to patient any time during the measurement period

  • G9688

    Patients using hospice services any time during the measurement period

  • G9689

    Patient admitted for performance of elective carotid intervention

  • G9690

    Patient receiving hospice services any time during the measurement period

  • G9691

    Patient had hospice services any time during the measurement period

  • G9692

    Hospice services received by patient any time during the measurement period

  • G9693

    Patient use of hospice services any time during the measurement period

  • G9694

    Hospice services utilized by patient any time during the measurement period

  • G9695

    Long-acting inhaled bronchodilator prescribed

  • G9696

    Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., patient intolerance or history of side effects)

  • G9697

    Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator

  • G9698

    Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator (e.g., cost of treatment or lack of insurance)

  • G9699

    Long-acting inhaled bronchodilator not prescribed, reason not otherwise specified

  • G9700

    Patients who use hospice services any time during the measurement period

  • G9701

    Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established

  • G9702

    Patients who use hospice services any time during the measurement period

  • G9703

    Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

  • G9704

    Ajcc breast cancer stage i: t1 mic or t1a documented

  • G9705

    Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented

  • G9706

    Low (or very low) risk of recurrence, prostate cancer

  • G9707

    Patient received hospice services any time during the measurement period

  • G9708

    Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy

  • G9709

    Hospice services used by patient any time during the measurement period

  • G9710

    Patient was provided hospice services any time during the measurement period

  • G9711

    Patients with a diagnosis or past history of total colectomy or colorectal cancer

  • G9712

    Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis