Free 2015 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 performed by a qualified physical therapist in the home health or ...
• G0152 Services performed by a qualified occupational therapist in the home health...
• G0153 Services performed by a qualified speech-language pathologist in the home h...
• G0154 Direct skilled nursing services of a licensed nurse (lpn or rn) in the home...
• 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...
• G0157 Services performed by a qualified physical therapist assistant in the home ...
• G0158 Services performed by a qualified occupational therapist assistant in the h...
• G0159 Services performed by a qualified physical therapist, in the home health se...
• G0160 Services performed by a qualified occupational therapist, in the home healt...
• G0161 Services performed by a qualified speech-language pathologist, in the home ...
• G0162 Skilled services by a registered nurse (rn) for management and evaluation o...
• G0163 Skilled services of a licensed nurse (lpn or rn) for the observation and as...
• G0164 Skilled services of a licensed nurse (lpn or rn), in the training and/or ed...
• G0166 External counterpulsation, per treatment session
• G0168 Wound closure utilizing tissue adhesive(s) only
• 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 2-d digital image, bilateral, all ...
• G0206 Diagnostic mammography, producing direct 2-d digital image, unilateral, all...
• 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 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...
• 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...
• G0276 Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar de...
• G0277 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval
• G0278 Iliac and/or femoral artery angiography, non-selective, bilateral or ipsila...
• G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list sepa...
• 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...
• 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
• 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 consultation, limited, physicians typically spend 15 mi...
• G0407 Follow-up inpatient consultation, intermediate, physicians typically spend ...
• G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 mi...
• 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 examinations, for prostate needle...
• 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 Telehealth consultation, emergency department or initial inpatient, typical...
• G0426 Telehealth consultation, emergency department or initial inpatient, typical...
• G0427 Telehealth consultation, emergency department or initial inpatient, typical...
• G0428 Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi...
• G0429 Dermal filler injection(s) for the treatment of facial lipodystrophy syndro...
• G0431 Drug screen, qualitative; multiple drug classes by high complexity test met...
• G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, ...
• G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (e...
• G0434 Drug screen, other than chromatographic; any number of drug classes, by cli...
• G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hi...
• G0436 Smoking and tobacco cessation counseling visit for the asymptomatic patient...
• G0437 Smoking and tobacco cessation counseling visit for the asymptomatic patient...
• G0438 Annual wellness visit; includes a personalized prevention plan of service (...
• G0439 Annual wellness visit, includes a personalized prevention plan of service (...
• G0442 Annual alcohol misuse screening, 15 minutes
• G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
• G0444 Annual depression screening, 15 minutes
• G0445 High intensity behavioral counseling to prevent sexually transmitted infect...
• G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular diseas...
• G0447 Face-to-face behavioral counseling for obesity, 15 minutes
• G0448 Insertion or replacement of a permanent pacing cardioverter-defibrillator s...
• G0451 Development testing, with interpretation and report, per standardized instr...
• G0452 Molecular pathology procedure; physician interpretation and report
• G0453 Continuous intraoperative neurophysiology monitoring, from outside the oper...
• G0454 Physician documentation of face-to-face visit for durable medical equipment...
• G0455 Preparation with instillation of fecal microbiota by any method, including ...
• G0458 Low dose rate (ldr) prostate brachytherapy services, composite rate
• G0459 Inpatient telehealth pharmacologic management, including prescription, use,...
• G0460 Autologous platelet rich plasma for chronic wounds/ulcers, incuding phlebot...
• G0463 Hospital outpatient clinic visit for assessment and management of a patient
• G0464 Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e...
• G0466 Federally qualified health center (fqhc) visit, new patient; a medically-ne...
• G0467 Federally qualified health center (fqhc) visit, established patient; a medi...
• G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit t...
• G0469 Federally qualified health center (fqhc) visit, mental health, new patient;...
• G0470 Federally qualified health center (fqhc) visit, mental health, established ...
• G0471 Collection of venous blood by venipuncture or urine sample by catheterizati...
• G0472 Hepatitis c antibody screening, for individual at high risk and other cover...
• G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
• G0913 Improvement in visual function achieved within 90 days following cataract s...
• G0914 Patient care survey was not completed by patient
• G0915 Improvement in visual function not achieved within 90 days following catara...
• G0916 Satisfaction with care achieved within 90 days following cataract surgery
• G0917 Patient satisfaction survey was not completed by patient
• G0918 Satisfaction with care not achieved within 90 days following cataract surge...
• G3001 Administration and supply of tositumomab, 450 mg
• G6001 Ultrasonic guidance for placement of radiation therapy fields
• G6002 Stereoscopic x-ray guidance for localization of target volume for the deliv...
• G6003 Radiation treatment delivery, single treatment area,single port or parallel...
• G6004 Radiation treatment delivery, single treatment area,single port or parallel...
• G6005 Radiation treatment delivery, single treatment area,single port or parallel...
• G6006 Radiation treatment delivery, single treatment area,single port or parallel...
• G6007 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports o...
• G6008 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports o...
• G6009 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports o...
• G6010 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports o...
• G6011 Radiation treatment delivery,3 or more separate treatment areas, custom blo...
• G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blo...
• G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blo...
• G6014 Radiation treatment delivery,3 or more separate treatment areas, custom blo...
• G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via ...
• G6016 Compensator-based beam modulation treatment delivery of inverse planned tre...
• G6017 Intra-fraction localization and tracking of target or patient motion during...
• G6018 Ileoscopy,through stoma; with transendoscopic stent placement (includes pre...
• G6019 Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other le...
• G6020 Colonoscopy through stoma; with transendoscopic stent placement (includes p...
• G6021 Unlisted procedure, intestine
• G6022 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesi...
• G6023 Sigmoidoscopy, flexible; with transendoscopic stent placement (includes pre...
• G6024 Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(...
• G6025 Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic st...
• G6027 Anoscopy, high resolution (hra) (with magnification and chemical agent enha...
• G6028 Anoscopy, high resolution (hra) (with magnification and chemical agent enha...
• G6030 Amitriptyline
• G6031 Benzodiazepines
• G6032 Desipramine
• G6034 Doxepin
• G6035 Gold
• G6036 Assay of imipramine
• G6037 Nortriptyline
• G6038 Salicylate
• G6039 Acetaminophen
• G6040 Alcohol (ethanol); any specimen except breath
• G6041 Alkaloids, urine, quantitative
• G6042 Amphetamine or methamphetamine
• G6043 Barbiturates, not elsewhere specified
• G6044 Cocaine or metabolite
• G6045 Dihydrocodeinone
• G6046 Dihydromorphinone
• G6047 Dihydrotestosterone
• G6048 Dimethadione
• G6049 Epiandrosterone
• G6050 Ethchlorvynol
• G6051 Flurazepam
• G6052 Meprobamate
• G6053 Methadone
• G6054 Methsuximide
• G6055 Nicotine
• G6056 Opiate(s), drug and metabolites, each procedure
• G6057 Phenothiazine
• G6058 Drug confirmation, each procedure
• 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...
• G8404 Lower extremity neurological exam performed and documented
• G8405 Lower extremity neurological exam not performed
• 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 Bmi is documented above normal parameters and a follow-up plan is documente...
• G8418 Bmi is documented below normal parameters and a follow-up plan is documente...
• G8419 Bmi documented outside normal parameters, no follow-up plan documented, no ...
• G8420 Bmi is documented within normal parameters and no follow-up plan is require...
• G8421 Bmi not documented and no reason is given
• G8422 Bmi not documented, documentation the patient is not eligible for bmi calcu...
• G8427 Eligible professional attests to documenting in the medical record they obt...
• G8428 Current list of medications not documented as obtained, updated, or reviewe...
• G8430 Eligible professional attests to documenting in the medical record the pati...
• G8431 Screening for clinical depression is documented as being positive and a fol...
• G8432 Clinical depression screening not documented, reason not given
• G8433 Screening for clinical depression not documented, documentation stating the...
• G8442 Pain assessment not documented as being performed, documentation the patien...
• G8450 Beta-blocker therapy prescribed
• G8451 Beta-blocker therapy for lvef < 40% not prescribed for reasons documented b...
• G8452 Beta-blocker therapy not prescribed
• G8458 Clinician documented that patient is not an eligible candidate for genotype...
• G8460 Clinician documented that patient is not an eligible candidate for quantita...
• G8461 Patient receiving antiviral treatment for hepatitis c during the measuremen...
• G8465 High risk of recurrence of prostate cancer
• 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 < 140 mmhg and a d...
• G8477 Most recent blood pressure has a systolic measurement of >=140 mmhg and/or ...
• G8478 Blood pressure measurement not performed or documented, reason not given
• G8482 Influenza immunization administered or previously received
• G8483 Influenza immunization was not administered for reasons documented by clini...
• G8484 Influenza immunization was not administered, reason not given
• G8485 I intend to report the diabetes mellitus (dm) measures group
• G8486 I intend to report the preventive care measures group
• G8487 I intend to report the chronic kidney disease (ckd) measures group
• G8489 I intend to report the coronary artery disease (cad) measures group
• G8490 I intend to report the rheumatoid arthritis (ra) measures group
• G8491 I intend to report the hiv/aids measures group
• G8494 All quality actions for the applicable measures in the diabetes mellitus (d...
• G8495 All quality actions for the applicable measures in the chronic kidney disea...
• 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...
• G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angioten...
• G8509 Pain assessment documented as positive using a standardized tool, follow-up...
• G8510 Screening for clinical depression is documented as negative, a follow-up pl...
• G8511 Screening for clinical depression documented as positive, follow up plan no...
• 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...
• G8535 Elder maltreatment screen not documented; documentation that patient not e...
• G8536 No documentation of an elder maltreatment screen, reason not given
• G8539 Functional outcome assessment documented as positive using a standardized t...
• G8540 Functional outcome assessment not documented as being performed, documentat...
• G8541 Functional outcome assessment using a standardized tool not documented, rea...
• G8542 Functional outcome assessment using a standardized tool is documented; no f...
• G8543 Documentation of a positive functional outcome assessment using a standardi...
• G8544 I intend to report the coronary artery bypass graft (cabg) measures group
• G8545 I intend to report the hepatitis c 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...
• G8551 All quality actions for the applicable measures in the heart failure (hf) m...
• 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 Patient does not have verification and documentation of sudden or rapidly p...
• G8568 Patient was not referred to a physician (preferably a physician with traini...
• G8569 Prolonged postoperative intubation (> 24 hrs) required
• G8570 Prolonged postoperative intubation (> 24 hrs) not required
• G8571 Development of deep sternal wound infection/mediastinitis within 30 days po...
• G8572 No deep sternal wound infection/mediastinitis
• G8573 Stroke following isolated cabg surgery
• G8574 No stroke following isolated cabg surgery
• G8575 Developed postoperative renal failure or required dialysis
• G8576 No postoperative renal failure/dialysis not required
• G8577 Re-exploration required due to mediastinal bleeding with or without tampona...
• G8578 Re-exploration not required due to mediastinal bleeding with or without tam...
• G8598 Aspirin or another antithrombotic therapy used
• G8599 Aspirin or another antithrombotic therapy not used, reason not given
• 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...
• G8627 Surgical procedure performed within 30 days following cataract surgery for ...
• G8628 Surgical procedure not performed within 30 days following cataract surgery ...
• G8633 Pharmacologic therapy (other than minierals/vitamins) for osteoporosis pres...
• G8634 Clinician documented patient not an eligible candidate to receive pharmacol...
• G8635 Pharmacologic therapy for osteoporosis was not prescribed, reason not given
• G8645 I intend to report the asthma measures group
• G8646 All quality actions for the applicable measures in the asthma measures grou...
• G8647 Risk-adjusted functional status change residual score for the knee successf...
• G8648 Risk-adjusted functional status change residual score for the knee successf...
• G8649 Risk-adjusted functional status change residual scores for the knee not mea...
• G8650 Risk-adjusted functional status change residual scores for the knee not mea...
• G8651 Risk-adjusted functional status change residual score for the hip successfu...
• G8652 Risk-adjusted functional status change residual score for the hip successfu...
• G8653 Risk-adjusted functional status change residual scores for the hip not meas...
• G8654 Risk-adjusted functional status change residual scores for the hip not meas...
• G8655 Risk-adjusted functional status change residual score for the lower leg, fo...
• G8656 Risk-adjusted functional status change residual score for the lower leg, fo...
• G8657 Risk-adjusted functional status change residual scores for the lower leg, f...
• G8658 Risk-adjusted functional status change residual scores for the lower leg, f...
• G8659 Risk-adjusted functional status change residual score for the lumbar spine ...
• G8660 Risk-adjusted functional status change residual score for the lumbar spine ...
• G8661 Risk-adjusted functional status change residual scores for the lumbar spine...
• G8662 Risk-adjusted functional status change residual scores for the lumbar spine...
• G8663 Risk-adjusted functional status change residual score for the shoulder succ...
• G8664 Risk-adjusted functional status change residual score for the shoulder succ...
• G8665 Risk-adjusted functional status change residual scores for the shoulder not...
• G8666 Risk-adjusted functional status change residual scores for the shoulder not...
• G8667 Risk-adjusted functional status change residual score for the elbow, wrist ...
• G8668 Risk-adjusted functional status change residual score for the elbow, wrist ...
• G8669 Risk-adjusted functional status change residual scores for the elbow, wrist...
• G8670 Risk-adjusted functional status change residual scores for the elbow, wrist...
• G8671 Risk-adjusted functional status change residual score for the neck, cranium...
• G8672 Risk-adjusted functional status change residual score for the neck, cranium...
• G8673 Risk-adjusted functional status change residual scores for the neck, craniu...
• G8674 Risk-adjusted functional status change residual scores for the neck, craniu...
• G8694 Left ventriucular ejection fraction (lvef) < 40%
• G8696 Antithrombotic therapy prescribed at discharge
• G8697 Antithrombotic therapy not prescribed for documented reasons (e.g., patient...
• G8698 Antithrombotic therapy was not prescribed at discharge, reason not given
• G8708 Patient not prescribed or dispensed antibiotic
• G8709 Patient prescribed or dispensed antibiotic for documented medical reason(s)...
• G8710 Patient prescribed or dispensed antibiotic
• G8711 Prescribed or dispensed antibiotic
• G8712 Antibiotic not prescribed or dispensed
• G8713 Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / v...
• G8714 Hemodialysis treatment performed exactly three times per week for > 90 days
• G8717 Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), rea...
• G8718 Total kt/v greater than or equal to 1.7 per week (total clearance of urea [...
• G8720 Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v...
• G8721 Pt category (primary tumor), pn category (regional lymph nodes), and histol...
• G8722 Documentation of medical reason(s) for not including the pt category, the p...
• G8723 Specimen site is other than anatomic location of primary tumor
• G8724 Pt category, pn category and histologic grade were not documented in the pa...
• G8725 Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total chol...
• G8726 Clinician has documented reason for not performing fasting lipid profile (e...
• G8728 Fasting lipid profile not performed, reason not given
• G8730 Pain assessment documented as positive using a standardized tool and a foll...
• G8731 Pain assessment using a standardized tool is documented as negative, no fol...
• G8732 No documentation of pain assessment, reason not given
• G8733 Elder maltreatment screen documented as positive and a follow-up plan is do...
• G8734 Elder maltreatment screen documented as negative, no follow-up required
• G8735 Elder maltreatment screen documented as positive, follow-up plan not docume...
• G8749 Absence of signs of melanoma (cough, dyspnea, tenderness, localized neurolo...
• G8752 Most recent systolic blood pressure < 140mmhg
• G8753 Most recent systolic blood pressure >= 140mmhg
• G8754 Most recent diastolic blood pressure < 90mmhg
• G8755 Most recent diastolic blood pressure >= 90mmhg
• G8756 No documentation of blood pressure measurement, reason not given
• G8757 All quality actions for the applicable measures in the chronic obstructive ...
• G8758 All quality actions for the applicable measures in the inflammatory bowel d...
• G8759 All quality actions for the applicable measures in the sleep apnea measures...
• G8761 All quality actions for the applicable measures in the dementia measures gr...
• G8762 All quality actions for the applicable measures in the parkinson's disease ...
• G8765 All quality actions for the applicable measures in the cataract measures gr...
• G8783 Normal blood pressure reading documented, follow-up not required
• G8784 Blood pressure reading not documented, documentation the patient is not eli...
• G8785 Blood pressure reading not documented, reason not given
• G8797 Specimen site other than anatomic location of esophagus
• G8798 Specimen site other than anatomic location of prostate
• G8806 Performance of trans-abdominal or trans-vaginal ultrasound
• G8807 Trans-abdominal or trans-vaginal ultrasound not performed for reasons docum...
• G8808 Performance of trans-abdominal or trans-vaginal ultrasound not ordered, rea...
• G8809 Rh-immunoglobulin (rhogam) ordered
• G8810 Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician ...
• G8811 Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
• G8815 Statin therapy not prescribed for documented reasons (e.g., medical intoler...
• G8816 Statin medication prescribed at discharge
• G8817 Statin therapy not prescribed at discharge, reason not given
• G8818 Patient discharge to home no later than post-operative day #7
• G8825 Patient not discharged to home by post-operative day #7
• G8826 Patient discharge to home no later than post-operative day #2 following eva...
• G8833 Patient not discharged to home by post-operative day #2 following evar
• G8834 Patient discharged to home no later than post-operative day #2 following ce...
• G8838 Patient not discharged to home by post-operative day #2 following cea
• G8839 Sleep apnea symptoms assessed, including presence or absence of snoring and...
• G8840 Documentation of reason(s) for not documenting an assessment of sleep sympt...
• G8841 Sleep apnea symptoms not assessed, reason not given
• G8842 Apnea hypopnea index (ahi) or respiratory disturbance index (rdi) measured ...
• G8843 Documentation of reason(s) for not measuring an apnea hypopnea index (ahi) ...
• G8844 Apnea hypopnea index (ahi) or respiratory disturbance index (rdi) not measu...
• G8845 Positive airway pressure therapy prescribed
• G8846 Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or r...
• G8848 Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory dis...
• G8849 Documentation of reason(s) for not prescribing positive airway pressure the...
• G8850 Positive airway pressure therapy not prescribed, reason not given
• G8851 Objective measurement of adherence to positive airway pressure therapy, doc...
• G8852 Positive airway pressure therapy prescribed
• G8853 Positive airway pressure therapy not prescribed
• G8854 Documentation of reason(s) for not objectively measuring adherence to posit...
• G8855 Objective measurement of adherence to positive airway pressure therapy not ...
• G8856 Referral to a physician for an otologic evaluation performed
• G8857 Patient is not eligible for the referral for otologic evaluation measure (e...
• G8858 Referral to a physician for an otologic evaluation not performed, reason no...
• G8861 Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ord...
• G8863 Patients not assessed for risk of bone loss, reason not given
• G8864 Pneumococcal vaccine administered or previously received
• G8865 Documentation of medical reason(s) for not administering or previously rece...
• G8866 Documentation of patient reason(s) for not administering or previously rece...
• G8867 Pneumococcal vaccine not administered or previously received, reason not gi...
• G8868 Patients receiving a first course of anti-tnf therapy
• G8869 Patient has documented immunity to hepatitis b and is receiving a first cou...
• G8870 Hepatitis b vaccine injection administered or previously received and is re...
• G8871 Patient not receiving a first course of anti-tnf therapy
• G8872 Excised tissue evaluated by imaging intraoperatively to confirm successful ...
• G8873 Patients with needle localization specimens which are not amenable to intra...
• G8874 Excised tissue not evaluated by imaging intraoperatively to confirm success...
• G8875 Clinician diagnosed breast cancer preoperatively by a minimally invasive bi...
• G8876 Documentation of reason(s) for not performing minimally invasive biopsy to ...
• G8877 Clinician did not attempt to achieve the diagnosis of breast cancer preoper...
• G8878 Sentinel lymph node biopsy procedure performed
• G8879 Clinically node negative (t1n0m0) or t2n0m0) invasive breast cancer
• G8880 Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., ...
• G8881 Stage of breast cancer is greater than t1n0m0 or t2n0m0
• G8882 Sentinel lymph node biopsy procedure not performed, reason not given
• G8883 Biopsy results reviewed, communicated, tracked and documented
• G8884 Clinician documented reason that patient's biopsy results were not reviewed
• G8885 Bipsy results not reviewed, communicated, tracked or documented
• G8898 I intend to report the chronic obstructive pulmonary disease (copd) measure...
• G8899 I intend to report the inflammatory bowel disease (ibd) measures group
• G8900 I intend to report the sleep apnea measures group
• G8902 I intend to report the dementia measures group
• G8903 I intend to report the parkinson's disease measures group
• G8906 I intend to report the cataract measures group
• G8907 Patient documented not to have experienced any of the following events: a b...
• G8908 Patient documented to have received a burn prior to discharge
• G8909 Patient documented not to have received a burn prior to discharge
• G8910 Patient documented to have experienced a fall within asc
• G8911 Patient documented not to have experienced a fall within ambulatory surgica...
• G8912 Patient documented to have experienced a wrong site, wrong side, wrong pati...
• G8913 Patient documented not to have experienced a wrong site, wrong side, wrong ...
• G8914 Patient documented to have experienced a hospital transfer or hospital admi...
• G8915 Patient documented not to have experienced a hospital transfer or hospital ...
• G8916 Patient with preoperative order for iv antibiotic surgical site infection (...
• G8917 Patient with preoperative order for iv antibiotic surgical site infection (...
• G8918 Patient without preoperative order for iv antibiotic surgical site infectio...
• G8923 Left ventricular ejection fraction (lvef) < 40% or documentation of moderat...
• G8924 Spirometry test results demonstrate fev1/fvc < 60% and patient has copd sym...
• G8925 Spirometry test results demonstrate fev1/fvc >=60% or patient does not have...
• G8926 Spirometry test not performed or documented, reason not given
• G8927 Adjuvant chemotherapy referred, prescribed or previously received for ajcc ...
• G8928 Adjuvant chemotherapy not prescribed or previously received for documented ...
• G8929 Adjuvant chemotherapy not prescribed or previously received, reason not spe...
• G8934 Left ventricular ejection fraction (lvef) <40% or documentation of moderate...
• G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angio...
• G8936 Clinician documented that patient was not an eligible candidate for angiote...
• G8937 Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor o...
• G8938 Bmi is documented as being outside of normal limits, follow-up plan is not ...
• G8939 Pain assessment documented as positive, follow-up plan not documented, docu...
• G8940 Screening for clinical depression documented as positive, a follow-up plan ...
• G8941 Elder maltreatment screen documented as positive, follow-up plan not docume...
• G8942 Functional outcomes assessment using a standardized tool is documented with...
• G8944 Ajcc melanoma cancer stage 0 through iic melanoma
• G8946 Minimally invasive biopsy method attempted but not diagnostic of breast can...
• G8947 One or more neuropsychiatric symptoms
• G8948 No neuropsychiatric symptoms
• G8950 Pre-hypertensive or hypertensive blood pressure reading documented, and the...
• G8951 Pre-hypertensive or hypertensive blood pressure reading documented, indicat...
• G8952 Pre-hypertensive or hypertensive blood pressure reading documented, indicat...
• G8953 All quality actions for the applicable measures in the oncology measures gr...
• G8955 Most recent assessment of adequacy of volume management
• G8956 Patient receiving maintenance hemodialysis in an outpatient dialysis facili...
• G8958 Assessment of adequacy of volume management not documented, reason not give...
• G8959 Clinician treating major depressive disorder communicates to clinician trea...
• G8960 Clinician treating major depressive disorder did not communicate to clinici...
• G8961 Cardiac stress imaging test primarily performed on low-risk surgery patient...
• G8962 Cardiac stress imaging test performed on patient for any reason including t...
• G8963 Cardiac stress imaging performed primarily for monitoring of asymptomatic p...
• G8964 Cardiac stress imaging test performed primarily for any other reason than m...
• G8965 Cardiac stress imaging test primarily performed on low chd risk patient for...
• G8966 Cardiac stress imaging test performed on symptomatic or higher than low chd...
• G8967 Warfarin or another oral anticoagulant that is fda approved prescribed
• G8968 Documentation of medical reason(s) for not prescribing warfarin or another ...
• G8969 Documentation of patient reason(s) for not prescribing warfarin or another ...
• G8970 No risk factors or one moderate risk factor for thromboembolism
• G8971 Warfarin or another oral anticoagulant that is fda approved not prescribed,...
• G8972 One or more high risk factors for thromboembolism or more than one moderate...
• G8973 Most recent hemoglobin (hgb) level < 10 g/dl
• G8974 Hemoglobin level measurement not documented, reason not given
• G8975 Documentation of medical reason(s) for patient having a hemoglobin level < ...
• G8976 Most recent hemoglobin (hgb) level >= 10 g/dl
• G8977 I intend to report the oncology measures group
• G8978 Mobility: walking & moving around functional limitation, current status, at...
• G8979 Mobility: walking & moving around functional limitation, projected goal sta...
• G8980 Mobility: walking & moving around functional limitation, discharge status, ...
• G8981 Changing & maintaining body position functional limitation, current status,...
• G8982 Changing & maintaining body position functional limitation, projected goal ...
• G8983 Changing & maintaining body position functional limitation, discharge statu...
• G8984 Carrying, moving & handling objects functional limitation, current status, ...
• G8985 Carrying, moving and handling objects, projected goal status, at therapy ep...
• G8986 Carrying, moving & handling objects functional limitation, discharge status...
• G8987 Self care functional limitation, current status, at therapy episode outset ...
• G8988 Self care functional limitation, projected goal status, at therapy episode ...
• G8989 Self care functional limitation, discharge status, at discharge from therap...
• G8990 Other physical or occupational therapy primary functional limitation, curre...
• G8991 Other physical or occupational therapy primary functional limitation, proje...
• G8992 Other physical or occupational therapy primary functional limitation, disch...
• G8993 Other physical or occupational therapy subsequent functional limitation, cu...
• G8994 Other physical or occupational therapy subsequent functional limitation, pr...
• G8995 Other physical or occupational therapy subsequent functional limitation, di...
• G8996 Swallowing functional limitation, current status at therapy episode outset ...
• G8997 Swallowing functional limitation, projected goal status, at therapy episode...
• G8998 Swallowing functional limitation, discharge status, at discharge from thera...
• G8999 Motor speech functional limitation, current status at therapy episode outse...
• 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...
• 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...
• G9143 Warfarin responsiveness testing by genetic technique using any method, any ...
• G9147 Outpatient intravenous insulin treatment (oivit) either pulsatile or contin...
• G9148 National committee for quality assurance - level 1 medical home
• G9149 National committee for quality assurance - level 2 medical home
• G9150 National committee for quality assurance - level 3 medical home
• G9151 Mapcp demonstration - state provided services
• G9152 Mapcp demonstration - community health teams
• G9153 Mapcp demonstration - physician incentive pool
• G9156 Evaluation for wheelchair requiring face to face visit with physician
• G9157 Transesophageal doppler measurement of cardiac output (including probe plac...
• G9158 Motor speech functional limitation, discharge status, at discharge from the...
• G9159 Spoken language comprehension functional limitation, current status at ther...
• G9160 Spoken language comprehension functional limitation, projected goal status ...
• G9161 Spoken language comprehension functional limitation, discharge status, at d...
• G9162 Spoken language expression functional limitation, current status at therapy...
• G9163 Spoken language expression functional limitation, projected goal status at ...
• G9164 Spoken language expression functional limitation, discharge status at disch...
• G9165 Attention functional limitation, current status at therapy episode outset a...
• G9166 Attention functional limitation, projected goal status at therapy episode o...
• G9167 Attention functional limitation, discharge status at discharge from therapy...
• G9168 Memory functional limitation, current status at therapy episode outset and ...
• G9169 Memory functional limitation, projected goal status at therapy episode outs...
• G9170 Memory functional limitation, discharge status at discharge from therapy or...
• G9171 Voice functional limitation, current status at therapy episode outset and a...
• G9172 Voice functional limitation, projected goal status at therapy episode outse...
• G9173 Voice functional limitation, discharge status at discharge from therapy or ...
• G9174 Other speech language pathology functional limitation, current status at th...
• G9175 Other speech language pathology functional limitation, projected goal statu...
• G9176 Other speech language pathology functional limitation, discharge status at ...
• G9186 Motor speech functional limitation, projected goal status at therapy episod...
• G9187 Bundled payments for care improvement initiative home visit for patient ass...
• G9188 Beta-blocker therapy not prescribed, reason not given
• G9189 Beta-blocker therapy prescribed or currently being taken
• G9190 Documentation of medical reason(s) for not prescribing beta-blocker therapy...
• G9191 Documentation of patient reason(s) for not prescribing beta-blocker therapy...
• G9192 Documentation of system reason(s) for not prescribing beta-blocker therapy ...
• G9196 Documentation of medical reason(s) for not ordering first or second generat...
• G9197 Documentation of order for first or second generation cephalosporin for ant...
• G9198 Order for first or second generation cephalosporin for antimicrobial prophy...
• G9203 Rna testing for hepatitis c documented as performed within 12 months prior ...
• G9204 Rna testing for hepatitis c was not documented as performed within 12 month...
• G9205 Patient starting antiviral treatmentfor hepatitis c during the measurement ...
• G9206 Patient starting antiviral treatment for hepatitis c during the measurement...
• G9207 Hepatitis c genotype testing documented as performed within 12 months prior...
• G9208 Hepatitis c genotype testing was not documented as performed within 12 mont...
• G9209 Hepatitis c quantitative rna testing documented as performed between 4-12 w...
• G9210 Hepatitis c quantitative rna testing not performed between 4-12 weeks after...
• G9211 Hepatitis c quantitative rna testing was not documented as performed betwee...
• G9212 Dsm-ivtm criteria for major depressive disorder documented at the initial e...
• G9213 Dsm-iv-tr criteria for major depressive disorder not documented at the init...
• G9217 Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count b...
• G9219 Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months ...
• G9222 Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of lo...
• G9223 Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of l...
• G9225 Foot exam was not performed, reason not given
• G9226 Foot examination performed (includes examination through visual inspection,...
• G9227 Functional outcome assessment documented, care plan not documented, documen...
• G9228 Chlamydia, gonorrhea and syphilis screening results documented (report when...
• G9229 Chlamydia, gonorrhea, and syphilis not screened, due to documented reason (...
• G9230 Chlamydia, gonorrhea, and syphilis not screened, reason not given
• G9231 Documentation of end stage renal disease (esrd), dialysis, renal transplant...
• G9232 Clinician treating major depressive disorder did not communicate to clinici...
• G9233 All quality actions for the applicable measures in the total knee replaceme...
• G9234 I intend to report the total knee replacement measures group
• G9235 All quality actions for the applicable measures in the general surgery meas...
• G9236 All quality actions for the applicable measures in the optimizing patient e...
• G9237 I intend to report the general surgery measures group
• G9238 I intend to report the optimizing patient exposure to ionizing radiation me...
• G9239 Documentation of reasons for patient initiaiting maintenance hemodialysis w...
• G9240 Patient whose mode of vascular access is a catheter at the time maintenance...
• G9241 Patient whose mode of vascular access is not a catheter at the time mainten...
• G9242 Documentation of viral load equal to or greater than 200 copies/ml or viral...
• G9243 Documentation of viral load less than 200 copies/ml
• G9244 Antiretroviral thereapy not prescribed
• G9245 Antiretroviral therapy prescribed
• G9246 Patient did not have at least one medical visit in each 6 month period of t...
• G9247 Patient had at least one medical visit in each 6 month period of the 24 mon...
• G9250 Documentation of patient pain brought to a comfortable level within 48 hour...
• G9251 Documentation of patient with pain not brought to a comfortable level withi...
• G9254 Documentation of patient discharged to home later than post-operative day 2...
• G9255 Documentation of patient discharged to home no later than post operative da...
• G9256 Documentation of patient death following cas
• G9257 Documentation of patient stroke following cas
• G9258 Documentation of patient stroke following cea
• G9259 Documentation of patient survival and absence of stroke following cas
• G9260 Documentation of patient death following cea
• G9261 Documentation of patient survival and absence of stroke following cea
• G9262 Documentation of patient death in the hospital following endovascular aaa r...
• G9263 Documentation of patient survival in the hospital following endovascular aa...
• G9264 Documentation of patient receiving maintenance hemodialysis for greater tha...
• G9265 Patient receiving maintenance hemodialysis for greater than or equal to 90 ...
• G9266 Patient receiving maintenance hemodialysis for greater than or equal to 90 ...
• G9267 Documentation of patient with one or more complications or mortality within...
• G9268 Documentation of patient with one or more complications within 90 days
• G9269 Documentation of patient without one or more complications and without mort...
• G9270 Documentation of patient without one or more complications within 90 days
• G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90
• G9274 Blood pressure has a systolic value of =140 and a diastolic value of = 90 o...
• G9275 Documentation that patient is a current non-tobacco user
• G9276 Documentation that patient is a current tobacco user
• G9277 Documentation that the patient is on daily aspirin or anti-platelet or has ...
• G9278 Documentation that the patient is not on daily aspirin or anti-platelet reg...
• G9279 Pneumococcal screening performed and documentation of vaccination received ...
• G9280 Pneumococcal vaccination not administered prior to discharge, reason not sp...
• G9281 Screening performed and documentation that vaccination not indicated/patien...
• G9282 Documentation of medical reason(s) for not reporting the histological type ...
• G9283 Non small cell lung cancer biopsy and cytology specimen report documents cl...
• G9284 Non small cell lung cancer biopsy and cytology specimen report does not doc...
• G9285 Specimen site other than anatomic location of lung or is not classified as ...
• G9286 Documentation of antibiotic regimen prescribed within 7 days of diagnosis o...
• G9287 No antibiotic regimen prescribed within 7 days of diagnosis or within 10 da...
• G9288 Documentation of medical reason(s) for not reporting the histological type ...
• G9289 Non small cell lung cancer biopsy and cytology specimen report documents cl...
• G9290 Non small cell lung cancer biopsy and cytology specimen report does not doc...
• G9291 Specimen site other than anatomic location of lung, is not classified as no...
• G9292 Documentation of medical reason(s) for not reporting pt category and a stat...
• G9293 Pathology report does not include the pt category and a statement on thickn...
• G9294 Pathology report includes the pt category and a statement on thickness and ...
• G9295 Specimen site other than anatomic cutaneous location
• G9296 Patients with documented shared decision-making including discussion of con...
• G9297 Shared decision-making including discussion of conservative (non-surgical) ...
• G9298 Patients who are evaluated for venous thromboembolic and cardiovascular ris...
• G9299 Patients who are not evaluated for venous thromboembolic and cardiovascular...
• G9300 Documentation of medical reason(s) for not completely infusing the prophyla...
• G9301 Patients who had the prophylactic antibiotic completely infused prior to th...
• G9302 Prophylactic antibiotic not completely infused prior to the inflation of th...
• G9303 Operative report does not identify the prosthetic implant specifications in...
• G9304 Operative report identifies the prosthetic implant specifications including...
• G9305 Intervention for presence of leak of endoluminal contents through an anasto...
• G9306 Intervention for presence of leak of endoluminal contents through an anasto...
• G9307 No return to the operating room for a surgical procedure, for any reason, w...
• G9308 Unplanned return to the operating room for a surgical procedure, for any re...
• G9309 No unplanned hospital readmission within 30 days of principal procedure
• G9310 Unplanned hospital readmission within 30 days of principal procedure
• G9311 No surgical site infection
• G9312 Surgical site infection
• G9313 Amoxicillin, with or without clavulanate, not prescribed as first line anti...
• G9314 Amoxicillin, with or without clavulanate, not prescribed as first line anti...
• G9315 Documentation amoxicillin, with or without clavulanate, prescribed as a fir...
• G9316 Documentation of patient-specific risk assessment with a risk calculator ba...
• G9317 Documentation of patient-specific risk assessment with a risk calculator ba...
• G9318 Imaging study named according to standardized nomenclature
• G9319 Imaging study not named according to standardized nomenclature, reason not ...
• G9320 Documentation of medical reason(s) for not naming ct studies according to a...
• G9321 Count of previous ct (any type of ct) and cardiac nuclear medicine (myocard...
• G9322 Count of previous ct and cardiac nuclear medicine (myocardial perfusion) st...
• G9323 Documentation of medical reason(s) for not counting previous ct and cardiac...
• G9324 All necessary data elements not included, reason not given
• G9325 Ct studies not reported to a radiation dose index registry due to medical r...
• G9326 Ct studies performed not reported to a radiation dose index registry, reaso...
• G9327 Ct studies performed reported to a radiation dose index registry with all n...
• G9328 Dicom format image data availability not documented in final report due to ...
• G9329 Dicom format image data available to non-affiliated external healthcare fac...
• G9340 Final report documented that dicom format image data available to non-affil...
• G9341 Search conducted for prior patient ct studies completed at non-affiliated e...
• G9342 Search not conducted prior to an imaging study being performed for prior pa...
• G9343 Due to medical reasons, search not conducted for dicom format images for pr...
• G9344 Due to system reasons search not conducted for dicom format images for prio...
• G9345 Follow-up recommendations documented according to recommended guidelines fo...
• G9346 Follow-up recommendations not documented according to recommended guideline...
• G9347 Follow-up recommendations not documented according to recommended guideline...
• G9348 Ct scan of the paranasal sinuses ordered at the time of diagnosis for docum...
• G9349 Documentation of a ct scan of the paranasal sinuses ordered at the time of ...
• G9350 Ct scan of the paranasal sinuses not ordered at the time of diagnosis or re...
• G9351 More than one ct scan of the paranasal sinuses ordered or received within 9...
• G9352 More than one ct scan of the paranasal sinuses ordered or received within 9...
• G9353 More than one ct scan of the paranasal sinuses ordered or received within 9...
• G9354 More than one ct scan of the paranasal sinuses not ordered within 90 days a...
• G9355 Elective delivery or early induction not performed
• G9356 Elective delivery or early induction performed
• G9357 Post-partum screenings, evaluations and education performed
• G9358 Post-partum screenings, evaluations and education not performed
• G9359 Documentation of negative or managed positive tb screen with further eviden...
• G9360 No documentation of negative or managed positive tb screen
• G9361 Medical indication for induction (documentation of reason(s) for elective d...
• G9362 Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb)...
• G9363 Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb)...
• G9364 Sinusitis caused by, or presumed to be caused by, bacterial infection
• G9365 One high-risk medication ordered
• G9366 One high-risk medication not ordered
• G9367 At least two different high-risk medications ordered
• G9368 At least two different high-risk medications not ordered
• G9369 Individual filled at least two prescriptions for any antipsychotic medicati...
• G9370 Individual who did not fill at least two prescriptions for any antipsychoti...
• G9376 Patient continued to have the retina attached at the 6 months follow up vis...
• G9377 Patient did not have the retina attached after 6 months following only one ...
• G9378 Patient continued to have the retina attached at the 6 months follow up vis...
• G9379 Patient did not achieve flat retinas six months post surgery
• G9380 Patient offered assistance with end of life issues during the measurement p...
• G9381 Documentation of medical reason(s) for not offering assistance with end of ...
• G9382 Patient not offered assistance with end of life issues during the measureme...
• G9383 Patient received screening for hcv infection within the 12 month reporting ...
• G9384 Documentation of medical reason(s) for not receiving screening for hcv infe...
• G9385 Documentation of patient reason(s) for not receiving screening for hcv infe...
• G9386 Screening for hcv infection not received within the 12 month reporting peri...
• G9389 Unplanned rupture of the posterior capsule requiring vitrectomy
• G9390 No unplanned rupture of the posterior capsule requiring vitrectomy
• G9391 Patient achieves refraction +-1 d for the eye that underwent cataract surge...
• G9392 Patient does not achieve refraction +-1 d for the eye that underwent catara...
• G9393 Patient with an initial phq-9 score greater than nine who achieves remissio...
• G9394 Patient who had a diagnosis of bipolar disorder or personality disorder, de...
• G9395 Patient with an initial phq-9 score greater than nine who did not achieve r...
• G9396 Patient with an initial phq-9 score greater than nine who was not assessed ...
• G9399 Documentation in the patient record of a discussion between the physician/c...
• G9400 Documentation of medical or patient reason(s) for not discussing treatment ...
• G9401 No documentation of a discussion in the patient record of a discussion betw...
• G9402 Patient received follow-up on the date of discharge or within 30 days after...
• G9403 Clinician documented reason patient was not able to complete 30 day follow-...
• G9404 Patient did not receive follow-up on the date of discharge or within 30 day...
• G9405 Patient received follow-up within 7 days from discharge
• G9406 Clinician documented reason patient was not able to complete 7 day follow-...
• G9407 Patient did not receive follow-up on or within 7 days after discharge
• G9408 Patients with cardiac tamponade and/or pericardiocentesis occurring within ...
• G9409 Patients without cardiac tamponade and/or pericardiocentesis occurring with...
• G9410 Patient admitted within 180 days, status post cied implantation, replacemen...
• G9411 Patient not admitted within 180 days, status post cied implantation, replac...
• G9412 Patient admitted within 180 days, status post cied implantation, replacemen...
• G9413 Patient not admitted within 180 days, status post cied implantation, replac...
• G9414 Patient had one dose of meningococcal vaccine on or between the patient's 1...
• G9415 Patient did not have one dose of meningococcal vaccine on or between the pa...
• G9416 Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine...
• G9417 Patient did not have one tetanus, diphtheria toxoids and acellular pertussi...
• G9418 Primary non-small cell lung cancer biopsy and cytology specimen report docu...
• G9419 Documentation of medical reason(s) for not reporting the histological type ...
• G9420 Specimen site other than anatomic location of lung or is not classified as ...
• G9421 Primary non-small cell lung cancer biopsy and cytology specimen report does...
• G9422 Non-small cell lung cancer biopsy and cytology specimen report documents cl...
• G9423 Documentation of medical reason(s) for not reporting the histological type ...
• G9424 Specimen site other than anatomic location of lung, is not classified as no...
• G9425 Non small cell lung cancer biopsy and cytology specimen report does not doc...
• G9426 Improvement in median time from ed arrival to initial ed oral or parenteral...
• G9427 Improvement in median time from ed arrival to initial ed oral or parenteral...
• G9428 Pathology report includes the pt category and a statement on thickness and ...
• G9429 Documentation of medical reason(s) for not reporting pt category and a stat...
• G9430 Specimen site other than anatomic cutaneous location
• G9431 Pathology report does not include the pt category and a statement on thickn...
• G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and res...
• G9433 Death, permanent nursing home resident or receiving hospice or palliative c...
• G9434 Asthma not well-controlled based on the act, c-act, acq, or ataq score, or ...
• G9435 Aspirin prescribed at discharge
• G9436 Aspirin not prescribed for documented reasons (e.g., allergy, medical intol...
• G9437 Aspirin not prescribed at discharge
• G9438 P2y inhibitor prescribed at discharge
• G9439 P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical...
• G9440 P2y inhibitor not prescribed at discharge
• G9441 Statin prescribed at discharge
• G9442 Statin not prescribed for documented reasons (e.g., allergy, medical intole...
• G9443 Statin not prescribed at discharge
• G9448 Patients who were born in the years 1945?1965
• G9449 History of receiving blood transfusions prior to 1992
• G9450 History of injection drug use
• G9451 Patient received one-time screening for hcv infection
• G9452 Documentation of medical reason(s) for not receiving one-time screening for...
• G9453 Documentation of patient reason(s) for not receiving one-time screening for...
• G9454 One-time screening for hcv infection not received within 12 month reporting...
• G9455 Patient underwent abdominal imaging with ultrasound, contrast enhanced ct o...
• G9456 Documentation of medical or patient reason(s) for not ordering or performin...
• G9457 Patient did not undergo abdominal imaging and did not have a documented rea...
• G9458 Patient documented as tobacco user and received tobacco cessation intervent...
• G9459 Currently a tobacco non-user
• G9460 Tobacco assessment or tobacco cessation intervention not performed, reason ...
• G9463 I intend to report the sinusitis measures group
• G9464 All quality actions for the applicable measures in the sinusitis measures g...
• G9465 I intend to report the acute otitis externa (aoe) measures group
• G9466 All quality actions for the applicable measures in the aoe measures group h...
• G9467 Patient who have received or are receiving corticosteroids greater than or ...
• G9468 Patient not receiving corticosteroids greater than or equal to 10 mg/day of...
• G9469 Patients who have received or are receiving corticosteroids greater than or...
• G9470 Patients not receiving corticosteroids greater than or equal to 10 mg/day o...
• G9471 Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not...
• G9472 Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not...