Free 2007 HCPCS G Codes

• G0008 Administration of influenza virus vaccine
• G0009 Administration of pneumococcal vaccine
• G0010 Administration of hepatitis b vaccine
• G0027 Semen analysis; presence and/or motility of sperm excluding huhner
• G0034 Study, rest or stress (exercise and/or pharmacologic) pet myocardial perfus...
• G0035 Studies, rest or stress (exercise and/or pharmacologic) pet myocardial perf...
• G0036 93510-93529); single study, rest or stress (exercise and/or pharmacologic) ...
• G0037 93510-93529); multiple studies, rest or stress (exercise and/or pharmacolog...
• G0038 Perfusion, 78460); single study, rest or stress (exercise and/or pharmacolo...
• G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examinatio...
• G0102 Prostate cancer screening; digital rectal examination
• G0103 Prostate cancer screening; prostate specific antigen test (psa)
• G0104 Colorectal cancer screening; flexible sigmoidoscopy
• G0105 Colorectal cancer screening; colonoscopy on individual at high risk
• G0106 Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy,...
• G0108 Diabetes outpatient self-management training services, individual, per 30 m...
• G0109 Diabetes outpatient self-management training services, group session (2 or ...
• G0117 Glaucoma screening for high risk patients furnished by an optometrist or op...
• G0118 Of an optometrist or ophthalomologist glaucoma screening for high risk pati...
• G0120 Colorectal cancer screening; alternative to g0105, screening colonoscopy, b...
• G0121 High risk colorectal cancer screening; colonoscopy on individual not meetin...
• G0122 Colorectal cancer screening; barium enema
• G0123 In preservative fluid, automated thin layer preparation, screening by cytot...
• G0124 Screening cytopathology, cervical or vaginal (any reporting system), collec...
• G0127 Trimming of dystrophic nails, any number
• G0128 Direct (face-to-face with patient) skilled nursing services of a registered...
• G0129 Occupational therapy requiring the skills of a qualified occupational thera...
• G0130 Single energy x-ray absorptiometry (sexa) bone density study, one or more s...
• G0141 Screening cytopathology smears, cervical or vaginal, performed by automated...
• G0143 Screening cytopathology, cervical or vaginal (any reporting system), collec...
• G0144 Screening cytopathology, cervical or vaginal (any reporting system), collec...
• G0145 In preservative fluid, automated thin layer preparation, with screening by...
• G0147 System under physician supervision screening cytopathology smears, cervica...
• G0148 System with manual rescreening screening cytopathology smears, cervical or ...
• G0151 Services of physical therapist in home health setting, each 15 minutes
• G0152 Services of occupational therapist in home health setting, each 15 minutes
• G0153 Services of speech and language pathologist in home health setting, each 15...
• G0154 Services of skilled nurse in home health setting, each 15 minutes
• G0155 Services of clinical social worker in home health setting, each 15 minutes
• G0156 Services of home health aide in home health setting, each 15 minutes
• G0166 External counterpulsation, per treatment session
• G0168 Wound closure utilizing tissue adhesive(s) only
• G0173 Linear accelerator based stereotactic radiosurgery, complete course of ther...
• G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of ...
• G0176 Activity therapy, such as music, dance, art or play therapies not for recre...
• G0177 Training and educational services related to the care and treatment of pati...
• G0179 Physician re-certification for medicare-covered home health services under...
• G0180 Physician certification for medicare-covered home health services under a ...
• G0181 Physician supervision of a patient receiving medicare-covered services prov...
• G0182 Physician supervision of a patient under a medicare-approved hospice (patie...
• G0186 Destruction of localized lesion of choroid (for example, choroidal neovascu...
• G0202 Screening mammography, producing direct digital image, bilateral, all views
• G0204 Diagnostic mammography, producing direct digital image, bilateral, all view...
• G0206 Diagnostic mammography, producing direct digital image, unilateral, all vie...
• G0211 G0126) pet imaging whole body; initial staging; lung cancer; non-small cell...
• G0219 Pet imaging whole body; melanoma for non-covered indications
• G0229 Seizures pet imaging; metabolic brain imaging for pre-surgical evaluation o...
• G0230 Inconclusive spect study pet imaging; metabolic assessment for myocardial ...
• G0231 Gamma cameras only pet, whole body, for recurrence of colorectal or colorec...
• G0232 Only pet, whole body, for staging and characterization of lymphoma; gamma c...
• G0233 Gamma cameras only pet, whole body, for recurrence of melanoma or melanoma ...
• G0234 Initial staging of pathologically diagnosed nonsmall cell lung cancer; gamm...
• G0235 Pet imaging, any site, not otherwise specified
• G0237 Therapeutic procedures to increase strength or endurance of respiratory mus...
• G0238 Therapeutic procedures to improve respiratory function, other than describe...
• G0239 Therapeutic procedures to improve respiratory function or increase strength...
• G0244 Asthma, minimum eight hours observation care provided by a facility to a pa...
• G0245 Inspection of the forefoot, hindfoot and toe web spaces, (b)evaluation of a...
• G0246 Follow-up physician evaluation and management of a diabetic patient with di...
• G0247 Routine foot care by a physician of a diabetic patient with diabetic sensor...
• G0248 Demonstration, at initial use, of home inr monitoring for patient with mech...
• G0249 Provision of test materials and equipment for home inr monitoring to patien...
• G0250 A patient with mechanical heart valve(s) who meets other coverage criteria;...
• G0251 Linear accelerator based stereotactic radiosurgery, delivery including coll...
• G0252 Pet imaging, full and partial-ring pet scanners only, for initial diagnosis...
• G0255 Current perception threshold/sensory nerve conduction test, (snct) per limb...
• G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospit...
• G0259 Injection procedure for sacroiliac joint; arthrograpy
• G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid ...
• G0263 Pain or asthma for observation services that meet all criteria for g0244 di...
• G0264 Diagnosis other than chf, chest pain or asthma or patient directly admitted...
• G0265 Line cryopreservation, freezing and storage of cells for therapeutic use, e...
• G0266 Thawing and expansion of frozen cells for therapeutic use, each aliquot
• G0267 Bone marrow or peripheral stem cell harvest, modification or treatment to e...
• G0268 Removal of impacted cerumen (one or both ears) by physician on same date of...
• G0269 Placement of occlusive device into either a venous or arterial access site,...
• G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) foll...
• G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) foll...
• G0275 Renal artery angiography (unilateral or bilateral) performed at the time of...
• G0278 Includes catheter placement, injection of dye, radiologic supervision and i...
• G0281 Electrical stimulation, (unattended), to one or more areas, for chronic sta...
• G0282 Electrical stimulation, (unattended), to one or more areas, for wound care ...
• G0283 Electrical stimulation (unattended), to one or more areas for indication(s)...
• G0288 Reconstruction, computed tomographic angiography of aorta for surgical plan...
• G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debri...
• G0290 Transcatheter placement of a drug eluting intracoronary stent(s), percutane...
• G0291 Transcatheter placement of a drug eluting intracoronary stent(s), percutane...
• G0293 Noncovered surgical procedure(s) using conscious sedation, regional, genera...
• G0294 A medicare qualifying clinical trial, per day noncovered procedure(s) using...
• G0295 Electromagnetic therapy, to one or more areas, for wound care other than de...
• G0296 Previously treated thyroid cancer of follicular cell origin following negat...
• G0297 Insertion of single chamber pacing cardioverter defibrillator pulse generat...
• G0298 Insertion of dual chamber pacing cardioverter defibrillator pulse generator
• G0299 Cardioverter defibrillator and insertion of pulse generator insertion or re...
• G0300 Cardioverter defibrillator and insertion of pulse generator insertion or re...
• G0302 Course of services, to include a minimum of 16 days of services pre-operati...
• G0303 Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15...
• G0304 Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 d...
• G0305 Services post-discharge pulmonary surgery services after lvrs, minimum of 6...
• G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and au...
• G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
• G0308 For patients under 2 years of age to include monitoring for the adequacy of...
• G0309 For patients under 2 years of age to include monitoring for the adequacy of...
• G0310 For patients under 2 years of age to include monitoring for the adequacy of...
• G0311 End stage renal disease (esrd) related services during the course of treatm...
• G0312 End stage renal disease (esrd) related services during the course of treatm...
• G0313 End stage renal disease (esrd) related services during the course of treatm...
• G0314 End stage renal disease (esrd) related services, during the course of treat...
• G0315 End stage renal disease (esrd) related services during the course of treatm...
• G0316 End stage renal disease (esrd) related services during the course of treatm...
• G0317 End stage renal disease (esrd) related services during the course of treatm...
• G0318 End stage renal disease (esrd) related services during the course of treatm...
• G0319 End stage renal disease (esrd) related services during the course of treatm...
• G0320 End stage renal disease (esrd) related services for home dialysis patients ...
• G0321 Parents end stage renal disease (esrd) related services for home dialysis p...
• G0322 Full month; for patients twelve to nineteen years of age to include monitor...
• G0323 End stage renal disease (esrd) related services for home dialysis patients ...
• G0324 End stage renal disease (esrd) related services for home dialysis (less tha...
• G0325 End stage renal disease (esrd) related services for home dialysis (less tha...
• G0326 End stage renal disease (esrd) related services for home dialysis (less tha...
• G0327 End stage renal disease (esrd) related services for home dialysis (less tha...
• G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simu...
• G0329 Electromagnetic therapy, to one or more areas for chronic stage iii and sta...
• G0332 Services for intravenous infusion of immunoglobulin prior to administration...
• G0333 Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a ...
• G0337 Hospice evaluation and counseling services, pre-election
• G0338 Performed for highly conformal distributions, plan positional accuracy and ...
• G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, co...
• G0340 Image-guided robotic linear accelerator-based stereotactic radiosurgery, de...
• G0341 Percutaneous islet cell transplant, includes portal vein catheterization an...
• G0342 Laparoscopy for islet cell transplant, includes portal vein catheterization...
• G0343 Laparotomy for islet cell transplant, includes portal vein catheterization ...
• G0344 To new beneficiary during the first six months of medicare enrollment initi...
• G0350 Report only once per substance/drug regardless of duration, report g0350 in...
• G0355 Antineoplastic chemotherapy administration, subcutaneous or intramuscular n...
• G0358 Addition to code for primary procedure) intravenous, push technique, each a...
• G0359 Single or initial substance/drug chemotherapy administration, intravenous i...
• G0360 Code for primary procedure) use g0360 in conjunction with g0359 each additi...
• G0361 Requiring use of a portable or implantable pump initiation of prolonged che...
• G0362 (use with g0359) each additional sequential infusion (different substance/d...
• G0363 Report g0363 if an injection or infusion is provided on the same day) irrig...
• G0364 Bone marrow aspiration performed with bone marrow biopsy through the same i...
• G0365 Vessel mapping of vessels for hemodialysis access (services for preoperativ...
• G0366 Electrocardiogram, routine ecg with 12 leads; performed as a component of t...
• G0367 Tracing only, without interpretation and report, performed as a component o...
• G0368 Interpretation and report only, performed as a component of the initial pre...
• G0372 Physician service required to establish and document the need for a power m...
• G0375 Smoking and tobacco use cessation counseling visit; intermediate, greater t...
• G0376 Smoking and tobacco use cessation counseling visit; intensive, greater than...
• G0378 Hospital observation service, per hour
• G0379 Direct admission of patient for hospital observation care
• G0380 Level 1 hospital emergency visit provided in a type b department or facilit...
• G0381 Level 2 hospital emergency visit provided in a type b department or facilit...
• G0382 Level 3 hospital emergency visit provided in a type b department or facilit...
• G0383 Level 4 hospital emergency visit provided in a type b department or facilit...
• G0384 Level 5 hospital emergency visit provided in a type b department or facilit...
• G0389 Ultrasound b-scan and/or real time with image documentation; for abdominal ...
• G0390 Trauma response team associated with hospital critical care service
• G0392 Transluminal balloon angioplasty, percutaneous; for maintenance of hemodial...
• G0393 Access, arteriovenous fistula or graft; venous transluminal balloon angiopl...
• G0394 Blood occult test (e.g., guaiac), feces, for single determination for color...
• G3001 Administration and supply of tositumomab, 450 mg
• G8006 Acute myocardial infarction: patient documented to have received aspirin at...
• G8007 Acute myocardial infarction: patient not documented to have received aspiri...
• G8008 Clinician documented that acute myocardial infarction patient was not an el...
• G8009 Acute myocardial infarction: patient documented to have received beta-block...
• G8010 Acute myocardial infarction: patient not documented to have received beta-b...
• G8011 Clinician documented that acute myocardial infarction patient was not an el...
• G8012 Pneumonia: patient documented to have received antibiotic within 4 hours of...
• G8013 Pneumonia: patient not documented to have received antibiotic within 4 hour...
• G8014 Clinician documented that pneumonia patient was not an eligible candidate f...
• G8015 Diabetic patient with most recent hemoglobin a1c level (within the last 6 m...
• G8016 Diabetic patient with most recent hemoglobin a1c level (within the last 6 m...
• G8017 Clinician documented that diabetic patient was not eligible candidate for h...
• G8018 Clinician has not provided care for the diabetic patient for the required t...
• G8019 Diabetic patient with most recent low-density lipoprotein (within the last ...
• G8020 Diabetic patient with most recent low-density lipoprotein (within the last ...
• G8021 Clinician documented that diabetic patient was not eligible candidate for l...
• G8022 Clinician has not provided care for the diabetic patient for the required t...
• G8023 Diabetic patient with most recent blood pressure (within the last 6 months)...
• G8024 Diabetic patient with most recent blood pressure (within the last 6 months)...
• G8025 Clinician documented that the diabetic patient was not eligible candidate f...
• G8026 Clinician has not provided care for the diabetic patient for the required t...
• G8027 Heart failure patient with left ventricular systolic dysfunction (lvsd) doc...
• G8028 Heart failure patient with left ventricular systolic dysfunction (lvsd) not...
• G8029 Clinician documented that heart failure patient was not an eligible candida...
• G8030 Heart failure patient with left ventricular systolic dysfunction (lvsd) doc...
• G8031 Heart failure patient with left ventricular systolic dysfunction (lvsd) not...
• G8032 Clinician documented that heart failure patient was not eligible candidate ...
• G8033 Prior myocardial infarction - coronary artery disease patient documented to...
• G8034 Prior myocardial infarction - coronary artery disease patient not documente...
• G8035 Clinician documented that prior myocardial infarction - coronary artery dis...
• G8036 Coronary artery disease patient documented to be on antiplatelet therapy
• G8037 Coronary artery disease patient not documented to be on antiplatelet therap...
• G8038 Clinician documented that coronary artery disease patient was not eligible ...
• G8039 Coronary artery disease - patient with low-density lipoprotein documented t...
• G8040 Coronary artery disease - patient with low-density lipoprotein documented t...
• G8041 Clinician documented that coronary artery disease patient was not eligible ...
• G8051 Patient (female) documented to have been assessed for osteoporosis
• G8052 Patient (female) not documented to have been assessed for osteoporosis
• G8053 Clinician documented that (female) patient was not an eligible candidate fo...
• G8054 Patient not documented for the assessment for falls within last 12 months
• G8055 Patient documented for the assessment for falls within last 12 months
• G8056 Clinician documented that patient was not an eligible candidate for the fal...
• G8057 Patient documented to have received hearing assessment
• G8058 Patient not documented to have received hearing assessment
• G8059 Clinician documented that patient was not an eligible candidate for hearing...
• G8060 Patient documented for the assessment of urinary incontinence
• G8061 Patient not documented for the assessment of urinary incontinence
• G8062 Clinician documented that patient was not an eligible candidate for urinary...
• G8075 End stage renal disease patient with documented dialysis dose of urr greate...
• G8076 End stage renal disease patient with documented dialysis dose of urr less t...
• G8077 Clinician documented that end stage renal disease patient was not an eligib...
• G8078 End stage renal disease patient with documented hematocrit greater than or ...
• G8079 End stage renal disease patient with documented hematocrit less than 33 (or...
• G8080 Clinician documented that end stage renal disease patient was not an eligib...
• G8081 End stage renal disease patient requiring hemodialysis vascular access docu...
• G8082 End stage renal disease patient requiring hemodialysis documented to have r...
• G8085 End-stage renal disease patient requiring hemodialysis vascular access was ...
• G8093 Newly diagnosed chronic obstructive pulmonary disease (copd) patient docume...
• G8094 Newly diagnosed chronic obstructive pulmonary disease (copd) patient not do...
• G8099 Osteoporosis patient documented to have been prescribed calcium and vitamin...
• G8100 Clinician documented that osteoporosis patient was not an eligible candidat...
• G8103 Newly diagnosed osteoporosis patients documented to have been treated with ...
• G8104 Clinician documented that newly diagnosed osteoporosis patient was not an e...
• G8106 Within 6 months of suffering a nontraumatic fracture, female patient 65 yea...
• G8107 Clinician documented that female patient 65 years of age or older who suffe...
• G8108 Patient documented to have received influenza vaccination during influenza ...
• G8109 Patient not documented to have received influenza vaccination during influe...
• G8110 Clinician documented that patient was not an eligible candidate for influen...
• G8111 Patient (female) documented to have received a mammogram during the measure...
• G8112 Patient (female) not documented to have received a mammogram during the mea...
• G8113 Clinician documented that female patient was not an eligible candidate for ...
• G8114 Clinician did not provide care to patient for the required time of mammogra...
• G8115 Patient documented to have received pneumococcal vaccination
• G8116 Patient not documented to have received pneumococcal vaccination
• G8117 Clinician documented that patient was not an eligible candidate for pneumoc...
• G8126 Patient documented as being treated with antidepressant medication during t...
• G8127 Patient not documented as being treated with antidepressant medication duri...
• G8128 Clinician documented that patient was not an eligible candidate for antidep...
• G8129 Patient documented as being treated with antidepressant medication for at l...
• G8130 Patient not documented as being treated with antidepressant medication for ...
• G8131 Clinician documented that patient was not an eligible candidate for antidep...
• G8152 Patient documented to have received antibiotic prophylaxis one hour prior t...
• G8153 Patient not documented to have received antibiotic prophylaxis one hour pri...
• G8154 Clinician documented that patient was not an eligible candidate for antibio...
• G8155 Patient with documented receipt of thromboembolism prophylaxis
• G8156 Patient without documented receipt of thromboembolism prophylaxis
• G8157 Clinician documented that patient was not an eligible candidate for thrombo...
• G8158 Patient documented to have received coronary artery bypass graft with use o...
• G8159 Patient documented to have received coronary artery bypass graft without us...
• G8160 Clinician documented that patient was not an eligible candidate for coronar...
• G8161 Patient with isolated coronary artery bypass graft documented to have recei...
• G8162 Patient with isolated coronary artery bypass graft not documented to have r...
• G8163 Clinician documented that patient with isolated coronary artery bypass graf...
• G8164 Patient with isolated coronary artery bypass graft documented to have prolo...
• G8165 Patient with isolated coronary artery bypass graft not documented to have p...
• G8166 Patient with isolated coronary artery bypass graft documented to have requi...
• G8167 Patient with isolated coronary artery bypass graft did not require surgical...
• G8170 Patient with isolated coronary artery bypass graft documented to have been ...
• G8171 Patient with isolated coronary artery bypass graft not documented to have b...
• G8172 Clinician documented that patient with isolated coronary artery bypass graf...
• G8182 Clinician has not provided care for the cardiac patient for the required ti...
• G8183 Patient with heart failure and atrial fibrillation documented to be on warf...
• G8184 Clinician documented that patient with heart failure and atrial fibrillatio...
• G8185 Patients diagnosed with symptomatic osteoarthritis with documented annual a...
• G8186 Clinician documented that symptomatic osteoarthritis patient was not an eli...
• G8191 Clinician documented to have given order for prophylactic antibiotic to be ...
• G8192 Clinician documented to have given the prophylactic antibiotic within one h...
• G8193 Clinician did not document that an order for prophylactic antibiotic to be ...
• G8194 Clinician documented that patient was not an eligible candidate for prophyl...
• G8195 Clinician documented to have given the prophylactic antibiotic within one h...
• G8196 Clinician did not document a prophylactic antibiotic was administered withi...
• G8197 Patient documented to have order for prophylactic antibiotic to be given wi...
• G8198 Patient documented to have order for cefazolin or cefuroxime for antimicrob...
• G8199 Clinician documented to have given cefazolin or cefuroxime for antimicrobia...
• G8200 Order for cefazolin or cefuroxime for antimicrobial prophylaxis not documen...
• G8201 Patient was not an eligible candidate for cefazolin or cefuroxime for antim...
• G8202 Clinician documented an order was given to discontinue prophylactic antibio...
• G8203 Hours of surgical end time clinician documented that prophylactic antibioti...
• G8204 Clinician did not document an order was given to discontinue prophylactic a...
• G8205 Clinician documented that patient was not an eligible candidate for prophyl...
• G8206 Clinician documented that prophylactic antibiotic was given
• G8207 Clinician documented an order was given to discontinue prophylactic antibio...
• G8208 Clinician documented that prophylactic antibiotics were discontinued within...
• G8209 Clinician did not document an order was given to discontinue prophylactic a...
• G8210 Clinician documented patient was not an eligible candidate for discontinuat...
• G8211 Clinician documented that prophylactic antibiotic was given
• G8212 Clinician documented an order was given for appropriate venous thromboembol...
• G8213 Clinician documented to have given vte prophylaxis within 24 hrs prior to i...
• G8214 Clinician did not document an order was given for appropriate venous thromb...
• G8215 Clinician documented that patient was not an eligible candidate for venous ...
• G8216 Patient documented to have received dvt prophylaxis by end of hospital day ...
• G8217 Patient not documented to have received dvt prophylaxis by end of hospital ...
• G8218 Patient was not an eligible candidate for dvt prophylaxis by end of hospita...
• G8219 Patient documented to have received dvt prophylaxis by end of hospital day ...
• G8220 Patient not documented to have received dvt prophylaxis by end of hospital ...
• G8221 Clinician documented that patient was not an eligible candidate for dvt pro...
• G8222 Patient documented to have been prescribed antiplatelet therapy at discharg...
• G8223 Patient not documented to have received prescription for antiplatelet thera...
• G8224 Clinician documented that patient was not an eligible candidate for antipla...
• G8225 Patient documented to have been prescribed an anticoagulant at discharge
• G8226 Patient not documented to have received prescription for anticoagulant ther...
• G8227 Patient not documented to have permanent, persistent, or paroxysmal atrial ...
• G8228 Clinician documented that patient was not an eligible candidate for anticoa...
• G8229 Patient documented to have been administered or considered for t-pa
• G8230 Patient not eligible for t-pa administration, ischemic stroke symptom onset...
• G8231 Patient not documented to have received t-pa or not documented to have been...
• G8232 Patient documented to have received dysphagia screening prior to taking any...
• G8234 Patient not documented to have received dysphagia screening
• G8235 Patient not receiving or ineligible to receive food, fluids or medication b...
• G8236 Clinician documented that patient was not an eligible candidate for dysphag...
• G8237 Patient documented to have received order for rehabilitation services or do...
• G8238 Patient not documented to have received order for or consideration for reha...
• G8239 Internal carotid stenosis patient below 30%, reference to measurements of d...
• G8240 Internal carotid stenosis patient in the 30-99% range, and no documentation...
• G8241 Clinician documented that patient whose final report of the carotid imaging...
• G8242 Patient documented to have received ct or mri with presence or absence of h...
• G8243 Patient not documented to have received ct or mri and the presence or absen...
• G8245 Clinician documented presence or absence alarm symptoms
• G8246 Patient was not an eligible candidate for medical history review with asses...
• G8247 Patient with alarm symptom(s) documented to have had upper endoscopy perfor...
• G8248 Patient with at least one alarm symptom not documented to have had upper en...
• G8249 Clinician documented that patient was not an eligible candidate for upper e...
• G8250 Patient with suspicion of barrett's esophagus in endoscopy report and docum...
• G8251 Patient not documented to have received an esophageal biopsy when suspicion...
• G8252 Clinician documented that patient was not an eligible candidate for esophag...
• G8253 Patient documented to have received an order for a barium swallow test
• G8254 Patient with no documentation order for barium swallow test
• G8255 Clinician documentation that patient was an eligible candidate for barium s...
• G8256 Clinician documented reconciliation of discharge medications with current m...
• G8257 Clinician has not documented reconciliation of discharge medications with c...
• G8258 Patient was not an eligible candidate for discharge medications review
• G8259 Patient documented to have surrogate decision maker or advance care plan in...
• G8260 Patient not documented to have surrogate decision maker or advance care pla...
• G8261 Clinician documented that patient was not an eligible candidate for surroga...
• G8262 Patient documented to have been assessed for presence or absence of urinary...
• G8263 Patient not documented to have been assessed for presence or absence of uri...
• G8264 Clinician documented that patient was not an eligible candidate for an asse...
• G8265 Patient documented to have received characterization of urinary incontinenc...
• G8266 Patient not documented to have received characterization of urinary inconti...
• G8267 Patient documented to have received a plan of care for urinary incontinence
• G8268 Patient not documented to have received plan of care for urinary incontinen...
• G8269 Clinician has not provided care for the patient for the required time to de...
• G8270 Patient documented to have received screening for fall risk (2 or more fall...
• G8271 Patient with no documentation of screening for fall risks (2 or more falls ...
• G8272 Clinician documentation that patient was not an eligible candidate for fall...
• G8273 Clinician has not provided care for the patient for the required time to sc...
• G8274 Clinician has not documented presence or absence of alarm symptoms
• G8275 Patient documented to have medical history taken which included assessment ...
• G8276 Patient not documented to have received medical history with assessment of ...
• G8277 Patient was not an eligible candidate for medical history review with asses...
• G8278 Patient documented to have received complete physical skin exam
• G8279 Patient not documented to have received a complete physical skin exam
• G8280 Patient was not an eligible candidate for complete physical skin exam durin...
• G8281 Patient documented to have received counseling to perform a self-examinatio...
• G8282 Patient not documented to have received counseling to perform a self-examin...
• G8283 Patient was not an eligible candidate for counseling to perform self-examin...
• G8284 Patient documented to have received a prescription for pharmacologic therap...
• G8285 Patient not documented to have received pharmacologic therapy
• G8286 Clinician documented that patient was not an eligible candidate for pharmac...
• G8287 Clinician has not provided care for the patient for the required time for t...
• G8288 Patient documented to have received calcium and vitamin d or counseling on ...
• G8289 Patient with no documentation of calcium and vitamin d use or counseling re...
• G8290 Clinician documentation that patient was not an eligible candidate for calc...
• G8291 Clinician has not provided care for the patient for the required time for t...
• G8292 Copd patient with spirometry results documented
• G8293 Copd patient without spirometry results documented
• G8294 Copd patient was not eligible for spirometry results
• G8295 Copd patient documented to have received inhaled bronchodilator therapy
• G8296 Copd patient not documented to have inhaled bronchodilator therapy prescrib...
• G8297 Copd patient was not eligible for inhaled bronchodilator therapy
• G8298 Patient documented to have received optic nerve head evaluation
• G8299 Patient not documented to have received optic nerve head evaluation
• G8300 Clinician documented that patient was not an eligible candidate for optic n...
• G8301 Clinician has not provided care for the primary open-angle glaucoma patient...
• G8302 Patient documented to have a specific target intraocular pressure range goa...
• G8303 Patient not documented to have a specific target intraocular pressure range...
• G8304 Clinician documented that patient was not an eligible candidate for a speci...
• G8305 Clinician has not provided care for the primary open-angle glaucoma patient...
• G8306 Primary open-angle glaucoma patient with intraocular pressure above the tar...
• G8307 No plan of care necessary primary open-angle glaucoma patient with intraocu...
• G8308 Primary open-angle glaucoma patient with intraocular pressure above the tar...
• G8309 Patient documented to have been prescribed/recommended antioxidant vitamin ...
• G8310 Patient not documented to have been prescribed/recommended at least one ant...
• G8311 Clinician documentation that patient was not an eligible candidate for anti...
• G8312 Clinician has not provided care for the age-related macular degeneration pa...
• G8313 Patient documented to have received macular exam, including documentation o...
• G8314 Patient not documented to have received macular exam with documentation of ...
• G8315 Clinician documentation that patient was not an eligible candidate for macu...
• G8316 Clinician has not provided care for the age-related macular degeneration pa...
• G8317 Patient documented to have visual functional status assessed
• G8318 Patient documented not to have visual functional status assessed
• G8319 Clinician documented that patient was not an eligible candidate for assessm...
• G8320 Clinician has not provided care for the cataract patient for the required t...
• G8321 Patient documented to have had pre-surgical axial length, corneal power mea...
• G8322 Patient not documented to have had pre-surgical axial length, corneal power...
• G8323 Clinician documentation that patient was not an eligible candidate for pre-...
• G8324 Clinician has not provided care for the cataract patient for the required t...
• G8325 Patient documented to have received fundus evaluation within six months pri...
• G8326 Patient not documented to have received fundus evaluation within six months...
• G8327 Patient was not an eligible candidate for pre-surgical fundus evaluation
• G8328 Clinician has not provided care for the cataract patient for the required t...
• G8329 Patient documented to have received dilated macular or fundus exam with lev...
• G8330 Patient not documented to have received dilated macular or fundus exam with...
• G8331 Clinician documentation that patient was not an eligible candidate for dila...
• G8332 Clinician has not provided care for the diabetic retinopathy patient for th...
• G8333 Patient documented to have had findings of macular or fundus exam communica...
• G8334 Documentation of findings of macular or fundus exam not communicated to the...
• G8335 Clinician documentation that patient was not an eligible candidate for the ...
• G8336 Clinician has not provided care for the diabetic retinopathy patient for th...
• G8337 Clinician documented that communication was sent to the physician managing ...
• G8338 Clinician has not documented that communication was sent to the physician m...
• G8339 Patient was not an eligible candidate for communication with the physician ...
• G8340 Patient documented to have had central dexa performed and results documente...
• G8341 Patient not documented to have had central dexa measurement or pharmacologi...
• G8342 Clinician documented that patient was not an eligible candidate for central...
• G8343 Clinician has not provided care for the patient for the required time for c...
• G8344 Patient documented to have had central dexa ordered or performed and result...
• G8345 Patient not documented to have had central dexa measurement ordered or perf...
• G8346 Clinician documented that patient was not an eligible candidate for central...
• G8347 Clinician has not provided care for the patient for the required time for c...
• G9001 Coordinated care fee, initial rate
• G9002 Coordinated care fee, maintenance rate
• G9003 Coordinated care fee, risk adjusted high, initial
• G9004 Coordinated care fee, risk adjusted low, initial
• G9005 Coordinated care fee, risk adjusted maintenance
• G9006 Coordinated care fee, home monitoring
• G9007 Coordinated care fee, scheduled team conference
• G9008 Coordinated care fee, physician coordinated care oversight services
• G9009 Coordinated care fee, risk adjusted maintenance, level 3
• G9010 Coordinated care fee, risk adjusted maintenance, level 4
• G9011 Coordinated care fee, risk adjusted maintenance, level 5
• G9012 Other specified case management service not elsewhere classified
• G9013 Esrd demo basic bundle level i
• G9014 Esrd demo expanded bundle including venous access and related services
• G9016 Any other evaluation and management service, per session (6-10 minutes) [de...
• G9017 Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved ...
• G9018 In a medicare-approved demonstration project) zanamivir, inhalation powder,...
• G9019 Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demo...
• G9020 Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved...
• G9028 Medicare-approved demonstration project) chemotherapy assessment for pain, ...
• G9029 At all (for use in a medicare-approved demonstration project) chemotherapy ...
• G9030 Performed at the time of chemotherapy administration, assessment level two:...
• G9031 Performed at the time of chemotherapy administration, assessment level thre...
• G9033 Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-app...
• G9034 Zanamivir, inhalation powder, administered through inhaler, brand, per 10 m...
• G9035 Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approv...
• G9036 Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-a...
• G9041 Rehabilitation services for low vision by qualified occupational therapist,...
• G9042 Rehabilitation services for low vision by certified orientation and mobilit...
• G9043 Rehabilitation services for low vision by certified low vision rehabilitati...
• G9044 Rehabilitation services for low vision by certified low vision rehabilitati...
• G9050 Oncology; primary focus of visit; work-up, evaluation, or staging at the ti...
• G9051 Oncology; primary focus of visit; treatment decision-making after disease i...
• G9052 Oncology; primary focus of visit; surveillance for disease recurrence for p...
• G9053 Oncology; primary focus of visit; expectant management of patient with evid...
• G9054 Oncology; primary focus of visit; supervising, coordinating or managing car...
• G9055 Oncology; primary focus of visit; other, unspecified service not otherwise ...
• G9056 Oncology; practice guidelines; management adheres to guidelines (for use in...
• G9057 Oncology; practice guidelines; management differs from guidelines as a resu...
• G9058 Oncology; practice guidelines; management differs from guidelines because t...
• G9059 Oncology; practice guidelines; management differs from guidelines because t...
• G9060 Associated with patient comorbid illness or performance status not factored...
• G9061 Guidelines (for use in a medicare-approved demonstration project) oncology;...
• G9062 Oncology; practice guidelines; management differs from guidelines for other...
• G9063 Oncology; disease status; limited to non-small cell lung cancer; extent of ...
• G9064 Oncology; disease status; limited to non-small cell lung cancer; extent of ...
• G9065 Oncology; disease status; limited to non-small cell lung cancer; extent of ...
• G9066 Oncology; disease status; limited to non-small cell lung cancer; stage iii ...
• G9067 Oncology; disease status; limited to non-small cell lung cancer; extent of ...
• G9068 Oncology; disease status; limited to small cell and combined small cell/non...
• G9069 Oncology; disease status; small cell lung cancer, limited to small cell and...
• G9070 Oncology; disease status; small cell lung cancer, limited to small cell and...
• G9071 Oncology; disease status; invasive female breast cancer (does not include d...
• G9072 Oncology; disease status; invasive female breast cancer (does not include d...
• G9073 Oncology; disease status; invasive female breast cancer (does not include d...
• G9074 Oncology; disease status; invasive female breast cancer (does not include d...
• G9075 Oncology; disease status; invasive female breast cancer (does not include d...
• G9077 Oncology; disease status; prostate cancer, limited to adenocarcinoma as pre...
• G9078 Oncology; disease status; prostate cancer, limited to adenocarcinoma as pre...
• G9079 Oncology; disease status; prostate cancer, limited to adenocarcinoma as pre...
• G9080 Oncology; disease status; prostate cancer, limited to adenocarcinoma; after...
• G9083 Oncology; disease status; prostate cancer, limited to adenocarcinoma; exten...
• G9084 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9085 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9086 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9087 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9088 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9089 Oncology; disease status; colon cancer, limited to invasive cancer, adenoca...
• G9090 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9091 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9092 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9093 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9094 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9095 Oncology; disease status; rectal cancer, limited to invasive cancer, adenoc...
• G9096 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or s...
• G9097 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or s...
• G9098 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or s...
• G9099 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or s...
• G9100 Oncology; disease status; gastric cancer, limited to adenocarcinoma as pred...
• G9101 Oncology; disease status; gastric cancer, limited to adenocarcinoma as pred...
• G9102 Oncology; disease status; gastric cancer, limited to adenocarcinoma as pred...
• G9103 Oncology; disease status; gastric cancer, limited to adenocarcinoma as pred...
• G9104 Oncology; disease status; gastric cancer, limited to adenocarcinoma as pred...
• G9105 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as p...
• G9106 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; pos...
• G9107 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unr...
• G9108 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; ext...
• G9109 Oncology; disease status; head and neck cancer, limited to cancers of oral ...
• G9110 Oncology; disease status; head and neck cancer, limited to cancers of oral ...
• G9111 Oncology; disease status; head and neck cancer, limited to cancers of oral ...
• G9112 Oncology; disease status; head and neck cancer, limited to cancers of oral ...
• G9113 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pat...
• G9114 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pat...
• G9115 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pat...
• G9116 Oncology; disease status; ovarian cancer, limited to epithelial cancer; evi...
• G9117 Oncology; disease status; ovarian cancer, limited to epithelial cancer; ext...
• G9123 Oncology; disease status; chronic myelogenous leukemia, limited to philadel...
• G9124 Oncology; disease status; chronic myelogenous leukemia, limited to philadel...
• G9125 Oncology; disease status; chronic myelogenous leukemia, limited to philadel...
• G9126 Oncology; disease status; chronic myelogenous leukemia, limited to philadel...
• G9128 Oncology; disease status; limited to multiple myeloma, systemic disease; sm...
• G9129 Oncology; disease status; limited to multiple myeloma, systemic disease; st...
• G9130 Oncology; disease status; limited to multiple myeloma, systemic disease; ex...
• G9131 Oncology; disease status; invasive female breast cancer (does not include d...
• G9132 Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormo...
• G9133 Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormo...
• G9134 Oncology; disease status; non-hodgkin's lymphoma, any cellular classificati...
• G9135 Oncology; disease status; non-hodgkin's lymphoma, any cellular classificati...
• G9136 Oncology; disease status; non-hodgkin's lymphoma, transformed from original...
• G9137 Oncology; disease status; non-hodgkin's lymphoma, any cellular classificati...
• G9138 Oncology; disease status; non-hodgkin's lymphoma, any cellular classificati...
• G9139 Oncology; disease status; chronic myelogenous leukemia, limited to philadel...