Free 2009 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
• 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 Glaucoma screening for high risk patient furnished under the direct supervi...
• G0120 Colorectal cancer screening; alternative to g0105, screening colonoscopy, b...
• G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria...
• G0122 Colorectal cancer screening; barium enema
• G0123 Screening cytopathology, cervical or vaginal (any reporting system), collec...
• 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 services requiring the skills of a qualified occupatio...
• 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 Screening cytopathology, cervical or vaginal (any reporting system), collec...
• G0147 Screening cytopathology smears, cervical or vaginal, performed by automate...
• G0148 Screening cytopathology smears, cervical or vaginal, performed by automated...
• 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...
• G0219 Pet imaging whole body; melanoma for non-covered indications
• 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...
• G0245 Initial physician evaluation and management of a diabetic patient with diab...
• 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, prior to initial use, of home inr monitoring for patient wit...
• G0249 Provision of test materials and equipment for home inr monitoring of patien...
• G0250 Physician review, interpretation, and patient management of home inr testin...
• 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 ...
• 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 angiography, non-selective, one or both kidneys, performed at the sam...
• G0278 Iliac and/or femoral artery angiography, non-selective, bilateral or ipsila...
• 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 Noncovered procedure(s) using either no anesthesia or local anesthesia only...
• G0295 Electromagnetic therapy, to one or more areas, for wound care other than de...
• G0302 Pre-operative pulmonary surgery services for preparation for lvrs, complete...
• 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 Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of ...
• G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and au...
• G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
• 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...
• G0333 Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a ...
• G0337 Hospice evaluation and counseling services, pre-election
• 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 ...
• G0364 Bone marrow aspiration performed with bone marrow biopsy through the same i...
• G0365 Vessel mapping of vessels for hemodialysis access (services for preoperativ...
• G0372 Physician service required to establish and document the need for a power m...
• G0378 Hospital observation service, per hour
• G0379 Direct admission of patient for hospital observation care
• G0380 Level 1 hospital emergency department visit provided in a type b emergency ...
• G0381 Level 2 hospital emergency department visit provided in a type b emergency ...
• G0382 Level 3 hospital emergency department visit provided in a type b emergency ...
• G0383 Level 4 hospital emergency department visit provided in a type b emergency ...
• G0384 Level 5 hospital emergency department visit provided in a type b emergency ...
• 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 Transluminal balloon angioplasty, percutaneous; for maintenance of hemodial...
• G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (...
• G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (...
• G0398 Home sleep study test (hst) with type ii portable monitor, unattended; mini...
• G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum o...
• G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of...
• G0402 Initial preventive physical examination; face-to-face visit, services limit...
• G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for ...
• G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpr...
• G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report onl...
• G0406 Follow-up inpatient telehealth consultation, limited, physicians typically ...
• G0407 Follow-up inpatient telehealth consultation, intermediate, physicians typic...
• G0408 Follow-up inpatient telehealth consultation, complex, physicians typically ...
• G0409 Social work and psychological services, directly relating to and/or further...
• G0410 Group psychotherapy other than of a multiple-family group, in a partial hos...
• G0411 Interactive group psychotherapy, in a partial hospitalization setting, appr...
• G0412 Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fractu...
• G0413 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dis...
• G0414 Open treatment of anterior pelvic bone fracture and/or dislocation for frac...
• G0415 Open treatment of posterior pelvic bone fracture and/or dislocation, for fr...
• G0416 Surgical pathology, gross and microscopic examination for prostate needle s...
• G0417 Surgical pathology, gross and microscopic examination for prostate needle s...
• G0418 Surgical pathology, gross and microscopic examination for prostate needle s...
• G0419 Surgical pathology, gross and microscopic examination for prostate needle s...
• 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...
• G8159 Patient documented to have received coronary artery bypass graft without us...
• G8162 Patient with isolated coronary artery bypass graft not documented to have r...
• 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...
• G8193 Clinician did not document that an order for prophylactic antibiotic to be ...
• G8196 Clinician did not document a prophylactic antibiotic was administered withi...
• G8200 Order for cefazolin or cefuroxime for antimicrobial prophylaxis not documen...
• G8204 Clinician did not document an order was given to discontinue prophylactic a...
• G8209 Clinician did not document an order was given to discontinue prophylactic a...
• G8214 Clinician did not document an order was given for appropriate venous thromb...
• G8217 Patient not documented to have received dvt prophylaxis by end of hospital ...
• 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...
• G8223 Patient not documented to have received prescription for antiplatelet thera...
• G8226 Patient not documented to have received prescription for anticoagulant ther...
• G8231 Patient not documented to have received t-pa or not documented to have been...
• G8234 Patient not documented to have received dysphagia screening
• G8238 Patient not documented to have received order for or consideration for reha...
• G8240 Internal carotid stenosis patient in the 30-99% range, and no documentation...
• G8243 Patient not documented to have received ct or mri and the presence or absen...
• G8246 Patient was not an eligible candidate for medical history review with asses...
• G8248 Patient with at least one alarm symptom not documented to have had upper en...
• G8251 Patient not documented to have received an esophageal biopsy when suspicion...
• G8254 Patient with no documentation order for barium swallow test
• G8257 Clinician has not documented reconciliation of discharge medications with c...
• G8260 Patient not documented to have surrogate decision maker or advance care pla...
• G8263 Patient not documented to have been assessed for presence or absence of uri...
• G8266 Patient not documented to have received characterization of urinary inconti...
• G8268 Patient not documented to have received plan of care for urinary incontinen...
• G8271 Patient with no documentation of screening for fall risks (2 or more falls ...
• G8274 Clinician has not documented presence or absence of alarm symptoms
• G8276 Patient not documented to have received medical history with assessment of ...
• G8279 Patient not documented to have received a complete physical skin exam
• G8282 Patient not documented to have received counseling to perform a self-examin...
• G8285 Patient not documented to have received pharmacologic therapy
• G8289 Patient with no documentation of calcium and vitamin d use or counseling re...
• G8293 Copd patient without spirometry results documented
• G8296 Copd patient not documented to have inhaled bronchodilator therapy prescrib...
• G8298 Patient documented to have received optic nerve head evaluation
• G8299 Patient not documented to have received optic nerve head evaluation
• 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 Primary open-angle glaucoma patient with intraocular pressure at or below g...
• G8308 Primary open-angle glaucoma patient with intraocular pressure above the tar...
• G8310 Patient not documented to have been prescribed/recommended at least one ant...
• G8314 Patient not documented to have received macular exam with documentation of ...
• G8318 Patient documented not to have visual functional status assessed
• G8322 Patient not documented to have had pre-surgical axial length, corneal power...
• G8326 Patient not documented to have received fundus evaluation within six months...
• G8330 Patient not documented to have received dilated macular or fundus exam with...
• G8334 Documentation of findings of macular or fundus exam not communicated to the...
• G8338 Clinician has not documented that communication was sent to the physician m...
• G8341 Patient not documented to have had central dexa measurement or pharmacologi...
• G8345 Patient not documented to have had central dexa measurement ordered or perf...
• G8351 Patient not documented to have had ecg
• G8354 Patient not documented to have received or taken aspirin 24 hours before em...
• G8357 Patient not documented to have had ecg
• G8360 Patient not documented to have vital signs recorded and reviewed
• G8362 Patient not documented to have oxygen saturation assessed
• G8365 Patient not documented to have mental status assessed
• G8367 Patient not documented to have appropriate empiric antibiotic prescribed
• G8370 Asthma patients with numeric frequency of symptoms or patient completion of...
• G8371 Chemotherapy documented as not received or prescribed for stage iii colon c...
• G8372 Chemotherapy documented as received or prescribed for stage iii colon cance...
• G8373 Chemotherapy plan documented prior to chemotherapy administration
• G8374 Chemotherapy plan not documented prior to chemotherapy administration
• G8375 Chronic lymphocytic leukemia (cll) patient with no documentation of baselin...
• G8376 Clinician documentation that breast cancer patient was not eligible for tam...
• G8377 Clinician documentation that colon cancer patient is not eligible for chemo...
• G8378 Clinician documentation that patient was not an eligible candidate for radi...
• G8379 Documentation of radiation therapy recommended within 12 months of first of...
• G8380 For patients with er or pr positive, stage ic-iii breast cancer, clinician ...
• G8381 For patients with er or pr positive, stage ic-iii breast cancer, clinician ...
• G8382 Multiple myeloma patients with no documentation of prescribed or received i...
• G8383 No documentation of radiation therapy recommended within 12 months of first...
• G8384 Baseline cytogenetic testing not performed in patients with myelodysplastic...
• G8385 Diabetic patients with no documentation of hemoglobin a1c level (within the...
• G8386 Diabetic patients with no documentation of low-density lipoprotein (within ...
• G8387 End-stage renal disease patient with a hematocrit or hemoglobin not documen...
• G8388 End-stage renal disease patient with urr or kt/v value not documented, but ...
• G8389 Myelodysplastic syndrome (mds) patients with no documentation of iron store...
• G8390 Diabetic patients with no documentation of blood pressure measurement (with...
• G8391 Patients with persistent asthma, no documentation of preferred long term co...
• G8395 Left ventricular ejection fraction (lvef) >= 40% or documentation as normal...
• G8396 Left ventricular ejection fraction (lvef) not performed or documented
• G8397 Dilated macular or fundus exam performed, including documentation of the pr...
• G8398 Dilated macular or fundus exam not performed
• G8399 Patient with central dual-energy x-ray absorptiometry (dxa) results documen...
• G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not doc...
• G8401 Clinician documented that patient was not an eligible candidate for screeni...
• G8402 Tobacco (smoke) use cessation intervention, counseling
• G8403 Tobacco (smoke) use cessation intervention not counseled
• G8404 Lower extremity neurological exam performed and documented
• G8405 Lower extremity neurological exam not performed
• G8406 Clinician documented that patient was not an eligible candidate for lower e...
• G8407 Abi measured and documented
• G8408 Abi measurement was not obtained
• G8409 Clinician documented that patient was not an eligible candidate for abi mea...
• G8410 Footwear evaluation performed and documented
• G8415 Footwear evaluation was not performed
• G8416 Clinician documented that patient was not an eligible candidate for footwea...
• G8417 Calculated bmi above the upper parameter and a follow-up plan was documente...
• G8418 Calculated bmi below the lower parameter and a follow-up plan was documente...
• G8419 Calculated bmi outside normal parameters, no follow-up plan was documented ...
• G8420 Calculated bmi within normal parameters and documented
• G8421 Bmi not calculated
• G8422 Patient not eligible for bmi calculation
• G8423 Documented that patient was screened and either influenza vaccination statu...
• G8424 Influenza vaccine status was not screened
• G8425 Influenza vaccine status screened, patient not current and counseling was n...
• G8426 Documented that patient was not appropriate for screening and/or counseling...
• G8427 List of current medications with dosages (includes prescription, over-the-c...
• G8428 Provider documentation of current medications with dosages (includes prescr...
• G8429 Incomplete or no provider documentation that patient's current medications ...
• G8430 Provider documentation that patient is not eligible for medication assessme...
• G8431 Positive screen for clinical depression using a standardized tool and a fol...
• G8432 No documentation of clinical depression screening using a standardized tool
• G8433 Screening for clinical depression using a standardized tool not documented,...
• G8434 Documentation of cognitive impairment screening using a standardized tool
• G8435 No documentation of cognitive impairment screening using a standardized too...
• G8436 Patient not eligible/not appropriate for cognitive impairment screening
• G8437 Documentation of clinician and patient involvement with the development of ...
• G8438 No documentation of clinician and patient involvement with the development ...
• G8439 Documentation that patient is not eligible for co-developing a plan of care...
• G8440 Documentation of pain assessment (including location, intensity and descrip...
• G8441 No documentation of pain assessment (including location, intensity and desc...
• G8442 Documentation that patient is not eligible for pain assessment
• G8443 All prescriptions created during the encounter were generated using a quali...
• G8445 No prescriptions were generated during the encounter, provider does have ac...
• G8446 Provider does have access to a qualified e-prescribing system and some or a...
• G8447 Patient encounter was documented using a cchit certified ehr
• G8448 Patient encounter was documented using a qualified (non-cchit certified) eh...
• G8449 Patient encounter was not documented using an emr due to system reasons suc...
• G8450 Beta-blocker therapy prescribed for patients with left ventricular ejection...
• G8451 Clinician documented patient with left ventricular ejection fraction (lvef)...
• G8452 Beta-blocker therapy not prescribed for patients with left ventricular ejec...
• G8453 Tobacco use cessation intervention, counseling
• G8454 Tobacco use cessation intervention not counseled, reason not specified
• G8455 Current tobacco smoker
• G8456 Current smokeless tobacco user
• G8457 Current tobacco non-user
• G8458 Clinician documented that patient is not an eligible candidate for genotype...
• G8459 Clinician documented that patient is receiving antiviral treatment for hepa...
• G8460 Clinician documented that patient is not an eligible candidate for quantita...
• G8461 Patient receiving antiviral treatment for hepatitis c
• G8462 Clinician documented that patient is not an eligible candidate for counseli...
• G8463 Patient receiving antiviral treatment for hepatitis c documented
• G8464 Clinician documented that prostate cancer patient is not an eligible candid...
• G8465 High risk of recurrence of prostate cancer
• G8466 Clinician documented that patient is not an eligible candidate for suicide ...
• G8467 Documentation of new diagnosis of initial or recurrent episode of major dep...
• G8468 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor block...
• G8469 Clinician documented that patient with a left ventricular ejection fraction...
• G8470 Patient with left ventricular ejection fraction (lvef) >=40% or documentati...
• G8471 Left ventricular ejection fraction (lvef) was not performed or documented
• G8472 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor block...
• G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor block...
• G8474 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor block...
• G8475 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor block...
• G8476 Most recent blood pressure has a systolic measurement of <130 mm/hg and a d...
• G8477 Most recent blood pressure has a systolic measurement of >=130 mm/hg and/or...
• G8478 Blood pressure measurement not performed or documented, reason not specifie...
• G8479 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angio...
• G8480 Clinician documented that patient was not an eligible candidate for angiote...
• G8481 Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor o...
• G8482 Influenza immunization was ordered or administered
• G8483 Influenza immunization was not ordered or administered for reasons document...
• G8484 Influenza immunization was not ordered or administered, reason not specifie...
• G8485 I intend to report the diabetes mellitus measures group
• G8486 I intend to report the preventive care measures group
• G8487 I intend to report the chronic kidney disease (ckd) measures group
• G8488 Clinician intends to report the end stage renal disease (esrd) measure grou...
• G8489 I intend to report the coronary artery disease (cad) measures group
• G8490 I intend to report the rheumatoid arthritis measures group
• G8491 I intend to report the hiv/aids measures group
• G8492 I intend to report the perioperative care measures group
• G8493 I intend to report the back pain measures group
• G8494 All quality actions for the applicable measures in the diabetes mellitus me...
• G8495 All quality actions for the applicable measures in the ckd measures group h...
• G8496 All quality actions for the applicable measures in the preventive care meas...
• G8497 All quality actions for the applicable measures in the coronary artery bypa...
• G8498 All quality actions for the applicable measures in the coronary artery dise...
• G8499 All quality actions for the applicable measures in the rheumatoid arthritis...
• G8500 All quality actions for the applicable measures in the hiv/aids measures gr...
• G8501 All quality actions for the applicable measures in the perioperative care m...
• G8502 All quality actions for the applicable measures in the back pain measures g...
• G8503 Documentation that prophylactic antibiotic was given within one hour (if fl...
• G8504 Documentation of order for prophylactic antibiotics to be given within one ...
• G8505 Documentation that prophylactic antibiotic was not given within one hour (i...
• G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angioten...
• G8507 Provider documentation that patient is not eligible for patient verificatio...
• G8508 Documentation of pain assessment (including location, intensity and descrip...
• G8509 Documentation of pain assessment (including location, intensity and descrip...
• G8510 Negative screen for clinical depression using a standardized tool, patient ...
• G8511 Screen for clinical depression using a standardized tool documented, follow...
• G8512 Pain severity quantified; pain present
• G8513 Abi measured and documented
• G8514 Clinician documented that patient was not an eligible candidate for abi mea...
• G8515 Abi measurement was not obtained
• G8516 Patient screened for future falls risk; documentation of two or more falls ...
• G8517 Patient screened for future fall risk; documentation of no falls in the pas...
• G8518 Clinical stage prior to surgery for lung cancer and esophageal cancer resec...
• G8519 Clinician documented that patient was not eligible for clinical stage prior...
• G8520 Clinician stage prior to surgery for lung cancer and esophageal cancer rese...
• G8521 Antiplatelet therapy received (asa [81-325 mg/day] and/or clopidogrel [75 m...
• G8522 Clinician documented that patient was not an eligible candidate for antipla...
• G8523 Antiplatelet therapy not received 48 hours prior to cea and at discharge, r...
• G8524 Patch closure used for patient undergoing conventional cea
• G8525 Clinician documented that patient did not receive conventional cea
• G8526 Patch closure not used for patient undergoing conventional cea, reason not ...
• G8527 Documentation of order for cefazolin or cefuroxime for antimicrobial prophy...
• G8528 Clinician documented that patient was ineligible for prophylactic antibioti...
• G8529 Order for cefazolin or cefuroxime for antimicrobial prophylaxis not documen...
• G8530 Autogenous av fistula received
• G8531 Clinician documented that patient was not an eligible candidate for autogen...
• G8532 Clinician documented that patient recevied vascular access other than autog...
• G8533 Participation by a physician or other clinician in systematic clinical data...
• G8534 Documentation of an elder maltreatment screen and follow-up plan
• G8535 No documentation of an elder maltreatment screen, patient not eligible
• G8536 No documentation of an elder maltreatment screen, reason not specified
• G8537 Elder maltreatment screen documented, follow-up plan not documented, patien...
• G8538 Elder maltreatment screen documented, follow-up plan not documented, reason...
• G8539 Documentation of a current functional outcome assessment using a standardiz...
• G8540 Documentation that the patient is not eligible for a functional outcome ass...
• G8541 No documentation of a current functional outcome assessment using a standar...
• G8542 Documentation of a current functional outcome assessment using a standardiz...
• G8543 Documentation of a current functional outcome assessment using a standardiz...
• G8544 I intend to report the coronary artery bypass graft (cabg) measures group
• 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 Smoking cessation counseling, individual, in the absence of or in addition ...
• G9017 Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved ...
• G9018 Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for ...
• 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...
• 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 Oncology; practice guidelines; management differs from guidelines for reaso...
• G9061 Oncology; practice guidelines; patient's condition not addressed by availab...
• 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...
• G9140 Frontier extended stay clinic demonstration; for a patient stay in a clinic...