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ALL MEDICAL CODES IN CATEGORY G Codes

2025 HCPCS code G9135

Oncology; Disease status; Non-Hodgkin’s lymphoma, any cellular classification; Stage III, IV, not relapsed, not refractory.

2025 HCPCS code M5B

Specialist - Psychiatry

2025 HCPCS code G9149

National Committee for Quality Assurance (NCQA) Level 3 Medical Home.

2025 HCPCS code G8878

Sentinel lymph node biopsy procedure performed.

2025 HCPCS code G9107

Oncology - other

2025 HCPCS code G8841

Sleep apnea symptoms not assessed, reason not given.

2025 HCPCS code G9148

National Committee for Quality Assurance (NCQA) Level 1 medical home.

2025 HCPCS code G8709

URI episodes with a competing diagnosis within three days.

2025 HCPCS code G9068

Oncology disease status limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project).

2025 HCPCS code G9625

Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery.

2025 HCPCS code G9314

Amoxicillin, with or without clavulanate, not prescribed as a first-line antibiotic for acute bacterial sinusitis, and no reason documented.

2025 HCPCS code G0023

Principal illness navigation services by certified auxiliary personnel, under physician direction, for 60 minutes per calendar month, encompassing patient assessment, support services identification, and care coordination.

2025 HCPCS code G0152

Services provided by a qualified occupational therapist in a home health or hospice setting, each 15 minutes.

2025 HCPCS code G9293

Documentation of medical reason(s) for not reporting pT category, thickness, ulceration, and mitotic rate (for pT1) for primary malignant cutaneous melanoma.

2025 HCPCS code G6009

Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks: 11-19 MeV.

2025 HCPCS code G6008

Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks: 6-10 MeV.

2025 HCPCS code G9355

Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation).

2025 HCPCS code G9414

One dose of meningococcal vaccine (serogroups A, C, W, Y) administered between patient's 11th and 13th birthdays.

2025 HCPCS code G9512

Proportion of Days Covered (PDC) of 0.8 or greater for antipsychotic medication.

2025 HCPCS code G0333

Pharmacy dispensing fee for initial inhalation drug(s); initial 30-day supply to a beneficiary.

2025 HCPCS code G0050

This code is used for performance measurement and tracks patients with a catheter who have a limited life expectancy.

2025 HCPCS code G0058

Improving Care for Lower Extremity Joint Repair MIPS Value Pathways (MVP).

2025 HCPCS code G0066

Clinical Social Work MIPS Specialty Set. This code is used to indicate that the provider is using the Clinical Social Work MIPS Specialty Set for quality measure reporting.

2025 HCPCS code G9134

Non-Hodgkin’s lymphoma, stage I/II, any cell type, not relapsed/recurrent, nonrefractory.

2025 HCPCS code G0141

Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician.

2025 HCPCS code G2127

Patient, age 66 to 80, with frailty and dispensed dementia medication.

2025 HCPCS code G0305

Post-discharge pulmonary surgery services after lung volume reduction surgery (LVRS), minimum of 6 days of services.

2025 HCPCS code G0259

Injection procedure for sacroiliac joint, arthrography.

2025 HCPCS code G0235

PET imaging of any body site, not otherwise specified.

2025 HCPCS code G9128

Multiple Myeloma, Stage IA

2025 HCPCS code G0304

Pre-operative pulmonary surgery services for preparation for lung volume reduction surgery (LVRS), 1 to 9 days of services.

2025 HCPCS code G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day.

2025 HCPCS code G2113

Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in rheumatoid arthritis disease activity.

2025 HCPCS code G0410

Group psychotherapy, excluding multiple-family groups, in a partial hospitalization or intensive outpatient setting, lasting 45-50 minutes.

2025 HCPCS code G0500

Moderate sedation services provided by the same physician performing a gastrointestinal endoscopic procedure, requiring an independent observer; initial 15 minutes, patient 5+ years old.

2025 HCPCS code G2021

Health care practitioners rendering treatment in place (TIP).

2025 HCPCS code G0918

Satisfaction with care not achieved within 90 days following cataract surgery.

2025 HCPCS code G2128

Performance Measure Exclusion Modifier due to Medical Reasons

2025 HCPCS code G2000

Convulsive therapy procedure performed in an approved blinded investigational device exemption clinical trial.

2025 HCPCS code G1010

Clinical decision support mechanism (CDSM) consultation for advanced diagnostic imaging procedures required by Medicare's appropriate use criteria (AUC) program.

2025 HCPCS code G1002

Advanced diagnostic imaging procedure with consultation of MedCurrent (Orderwise®) clinical decision support mechanism (CDSM) for Medicare patients meeting appropriate use criteria (AUC).

2025 HCPCS code G8942

Functional outcome assessment using a standardized tool and care plan development based on identified deficiencies.

2025 HCPCS code G2174

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

2025 HCPCS code G0282

Electrical stimulation (unattended) to one or more areas, for wound care other than described in G0281.

2025 HCPCS code G0136

Administration of a standardized, evidence-based social determinants of health (SDOH) risk assessment tool, requiring 5-15 minutes.

2025 HCPCS code G0038

Clinician determines patient does not require referral.

2025 HCPCS code G9003

This HCPCS code represents a coordinated care fee for high-risk patients during their initial encounter, risk-adjusted.

2025 HCPCS code G8578

Indicates that re-exploration was not required due to postoperative mediastinal bleeding or other cardiac reasons after cardiac surgery.

2025 HCPCS code M5B

Specialist - Psychiatry

2025 HCPCS code G1016

Consultation of Speed of Care clinical decision support mechanism (CDSM) for advanced diagnostic imaging procedures under the Medicare appropriate use criteria (AUC) program.