Free 2010 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 a physical therapist in home health or hospice settings, each 1...
  • G0152 Services of an occupational therapist in home health or hospice settings, e...
  • G0153 Services of a speech and language pathologist in home health or hospice set...
  • G0154 Services of skilled nurse in home health, or nurse in hospice settings, eac...
  • G0155 Services of clinical social worker in home health or hospice settings, each...
  • G0156 Services of home health/hospice aide in home health or hospice settings, ea...
  • 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 Calls) with other health care professionals involved in the patient's care,...
  • 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 Examination that consists of at least the following elements: (a) visual in...
  • 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 initiation of home inr monitoring, for patient with...
  • 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)
  • G0318 For patients 20 years of age and over; with 2 or 3 face-to-face physician v...
  • 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 Department; (the ed must meet at least one of the following requirements: (...
  • 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
  • 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...
  • G0420 Face-to-face educational services related to the care of chronic kidney dis...
  • G0421 Face-to-face educational services related to the care of chronic kidney dis...
  • G0422 Intensive cardiac rehabilitation; with or without continuous ecg monitoring...
  • G0423 Intensive cardiac rehabilitation; with or without continuous ecg monitoring...
  • G0424 Pulmonary rehabilitation, including exercise (includes monitoring), one hou...
  • G0425 Initial inpatient telehealth consultation, typically 30 minutes communicati...
  • G0426 Initial inpatient telehealth consultation, typically 50 minutes communicati...
  • G0427 Initial inpatient telehealth consultation, typically 70 minutes or more com...
  • G0430 Drug screen, qualitative; multiple drug classes other than chromatographic ...
  • G0431 Drug screen, qualitative; single drug class method (e.g., immunoassay, enzy...
  • 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 Greater than 100mg/dl coronary artery disease - patient with low-density li...
  • 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 Equal to 33 (or hemoglobin greater than or equal to 11) end stage renal dis...
  • 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 No plan of care necessary primary open-angle glaucoma patient with intraocu...
  • 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...
  • G8335 Managing their diabetes care during the reporting year clinician documentat...
  • 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...
  • 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...
  • 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...
  • 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 ...
  • 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...
  • 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
  • G8545 I intend to report the hepatitis c measures group
  • G8546 I intend to report the community-acquired pneumonia (cap) measures group
  • G8547 I intend to report the ischemic vascular disease (ivd) measures group
  • G8548 I intend to report the heart failure (hf) measures group
  • G8549 All quality actions for the applicable measures in the hepatitis c measures...
  • G8550 All quality actions for the applicable measures in the community-acquired p...
  • G8551 All quality actions for the applicable measures in the heart failure (hf) m...
  • G8552 All quality actions for the applicable measures in the ischemic vascular di...
  • G8553 At least one prescription created during the encounter was generated and tr...
  • G8556 Referred to a physician (preferably a physician with training in disorders ...
  • G8557 Patient is not eligible for the referral for otologic evaluation measure
  • G8558 Not referred to a physician (preferably a physician with training in disord...
  • G8559 Patient referred to a physician (preferably a physician with training in di...
  • G8560 Patient has a history of active drainage from the ear within the previous 9...
  • G8561 Patient is not eligible for the referral for otologic evaluation for patien...
  • G8562 Patient does not have a history of active drainage from the ear within the ...
  • G8563 Patient not referred to a physician (preferably a physician with training i...
  • G8564 Patient was referred to a physician (preferably a physician with training i...
  • G8565 Verification and documentation of sudden or rapidly progressive hearing los...
  • G8566 Patient is not eligible for the "referral for otologic evaluation for sudde...
  • G8567 Progressive hearing loss patient does not have verification and documentati...
  • G8568 Patient was not referred to a physician (preferably a physician with traini...
  • G8569 Prolonged intubation (>24 hrs) required
  • G8570 Prolonged intubation (>24 hrs) not required
  • G8571 Development of deep sternal wound infection within 30 days postoperatively
  • G8572 No deep sternal wound infection
  • G8573 Stroke/cba following isolated cabg surgery
  • G8574 No stroke/cva following isolated cabg surgery
  • G8575 Developed postoperative renal insufficiency or required dialysis
  • G8576 No postoperative renal insufficiency/dialysis not required
  • G8577 Reoperation required due to bleeding/tamponade, graft occlusion or other ca...
  • G8578 Reoperation not required due to bleeding/tamponade, graft occlusion or othe...
  • G8579 Antiplatelet medication at discharge
  • G8580 Antiplatelet medication contraindicated/not indicated
  • G8581 No antiplatelet medication at discharge
  • G8582 Beta-blocker at discharge
  • G8583 Beta-blocker contraindicated/not indicated
  • G8584 No beta-blocker at discharge
  • G8585 Anti-lipid treatment at discharge
  • G8586 Anti-lipid treatment contraindicated/not indicated
  • G8587 No anti-lipid treatment at discharge
  • G8588 Most recent systolic blood pressure < 140 mmhg
  • G8589 Most recent systolic blood pressure >= 140 mmhg
  • G8590 Most recent diastolic blood pressure < 90 mmhg
  • G8591 Most recent diastolic blood pressure >= 90 mmhg
  • G8592 No documentation of blood pressure measurement
  • G8593 Lipid profile results documented and reviewed (must include total cholester...
  • G8594 Lipid profile not performed, reason not otherwise specified
  • G8595 Most recent ldl-c < 100 mg/dl
  • G8596 Ldl-c was not performed
  • G8597 Most recent ldl-c >= 100 mg/dl
  • G8598 Aspirin or another antithrombotic therapy used
  • G8599 Aspirin or another antithrombotic therapy not used, reason not otherwise sp...
  • G8600 Iv t-pa initiated within three hours (<= 180 minutes) of time last known we...
  • G8601 Iv t-pa not initiated within three hours (<= 180 minutes) of time last know...
  • G8602 Iv t-pa not initiated within three hours (<= 180 minutes) of time last know...
  • G8603 Score on the spoken language comprehension functional communication measure...
  • G8604 Score on the spoken language comprehension functional communication measure...
  • G8605 Patient was not scored on the spoken language comprehension functional comm...
  • G8606 Score on the attention functional communication measure at discharge was hi...
  • G8607 Score on the attention functional communication measure at discharge was no...
  • G8608 Patient was not scored on the attention functional communication measure ei...
  • G8609 Score on the memory functional communication measure at discharge was highe...
  • G8610 Score on the memory functional communication measure at discharge was not h...
  • G8611 Patient was not scored on the memory functional communication measure at ei...
  • G8612 Score on the motor speech functional communication measure at discharge was...
  • G8613 Score on the motor speech functional communication measure at discharge was...
  • G8614 Patient was not scored on the motor speech functional communication measure...
  • G8615 Score on the reading functional communication measure at discharge was high...
  • G8616 Score on the reading functional communication measure at discharge was not ...
  • G8617 Patient was not scored on the reading functional communication measure eith...
  • G8618 Score on the spoken language expression functional communication measure at...
  • G8619 Score on the spoken language expression functional communication measure at...
  • G8620 Patient was not scored on the spoken language expression functional communi...
  • G8621 Score on the writing functional communication measure at discharge was high...
  • G8622 Score on the writing functional communication measure at discharge was not ...
  • G8623 Patient was not scored on the writing functional communication measure eith...
  • G8624 Score on the swallowing functional communication measure at discharge was h...
  • G8625 Score on the swallowing functional communication measure at discharge was n...
  • G8626 Patient was not scored on the swallowing functional communication measure a...
  • G8627 Surgical procedure performed within 30 days following cataract surgery for ...
  • G8628 Surgical procedure not performed within 30 days following cataract surgery ...
  • 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 Adenocarcinoma as predominant cell type; extent of disease unknown, staging...
  • 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 Established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with n...
  • 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 Metastases (for use in a medicare-approved demonstration project) oncology;...
  • 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...
  • G9141 Influenza a (h1n1) immunization administration (includes the physician coun...
  • G9142 Influenza a (h1n1) vaccine, any route of administration
  • G9143 Warfarin responsiveness testing by genetic technique using any method, any ...