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ALL MEDICAL CODES IN CATEGORY G Codes

2025 HCPCS code M5B

Specialist - Psychiatry

2025 HCPCS code G9278

Patient not on aspirin or antiplatelet therapy for ischemic vascular disease (IVD).

2025 HCPCS code G2208

Patient did not receive adjuvant treatment course, including both chemotherapy and HER2-targeted therapy.

2025 HCPCS code G8654

Hip impairment: LEPF PROM not completed, reason not documented.

2025 HCPCS code G9832

AJCC stage at breast cancer diagnosis is I (Ia or Ib) and the T-stage at diagnosis is not T1, T1a, or T1b.

2025 HCPCS code G9943

Back pain was not measured by the visual analog scale (VAS) or numeric pain scale at three months (6 - 20 weeks) postoperatively.

2025 HCPCS code G9879

Two core maintenance sessions for months 10-12 of the expanded Medicare Diabetes Prevention Program (MDPP) for beneficiaries achieving at least 5% weight loss, documented by in-person measurement.

2025 HCPCS code G0081

Brief (20 minutes) care management home visit for an existing patient enrolled in a Medicare-approved CMMI model.

2025 HCPCS code G9132

Oncology - Other

2025 HCPCS code G6013

Radiation treatment delivery, three or more separate treatment areas, using 11-19 MeV energy.

2025 HCPCS code G1007

Consultation of a qualified Clinical Decision Support Mechanism (CDSM) for advanced diagnostic imaging procedures required by Medicare's appropriate use criteria (AUC) program.

2025 HCPCS code G0158

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

2025 HCPCS code G0427

Emergency department or initial inpatient telehealth consultation, typically 70 minutes or more communicating with the patient via telehealth.

2025 HCPCS code G0238

Therapeutic procedures to improve respiratory function, other than strength or endurance training, provided one-on-one, face-to-face, per 15 minutes, with monitoring.

2025 HCPCS code G9136

Disease status of non-Hodgkin’s lymphoma with transformation of cell type from one classification to another (Used in a Medicare demonstration project in 2006).

2025 HCPCS code G9135

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

2025 HCPCS code G9473

Services performed by a chaplain in a hospice setting, each 15 minutes.

2025 HCPCS code G9102

Oncology; disease status; gastric cancer, limited to adenocarcinoma, clinical or pathologic M0, unresectable with no evidence of disease progression (for use in a Medicare-approved demonstration project).

2025 HCPCS code M5B

Specialist - Psychiatry

2025 HCPCS code G2125

This code identifies patients 81 years or older with at least one claim/encounter for frailty during the six months prior to the measurement period through December 31 of the measurement period.

2025 HCPCS code G8652

Residual score for the hip impairment successfully calculated and the score was less than zero (< 0).

2025 HCPCS code G9126

Chronic Myelogenous Leukemia, positive for Philadelphia chromosome or BCR/ABL gene, in remission.

2025 HCPCS code G9604

Patient survey results not available after surgical treatment of varicose veins with saphenous ablation.

2025 HCPCS code G9149

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

2025 HCPCS code G9424

Site not lung or NSCLC or NSCLC NOS

2025 HCPCS code G8878

Sentinel lymph node biopsy procedure performed.

2025 HCPCS code G9784

Pathologists/dermatopathologists providing a second opinion on a biopsy.

2025 HCPCS code G9107

Oncology - other

2025 HCPCS code G9109

Disease status of head and neck cancer, limited to cancers of the oral cavity, pharynx, and larynx with squamous cell as the predominant cell type, showing no disease progression.

2025 HCPCS code G9294

Pathology report for primary malignant cutaneous melanoma includes pT category, thickness, ulceration, and mitotic rate (if pT1).

2025 HCPCS code G8564

Patient referral for an otologic evaluation, reason unspecified.

2025 HCPCS code G8568

This code reports when a provider does not refer a patient to an ENT specialist for ear diseases and doesn't document the reason.

2025 HCPCS code G9307

No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure.

2025 HCPCS code G8841

Sleep apnea symptoms not assessed, reason not given.

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.

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 G9069

Oncology - disease status; small cell lung cancer (limited to small cell and combined small cell/non-small cell); extensive stage at diagnosis, metastatic, locally recurrent, or progressive. For use in a Medicare-approved demonstration project.

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 G0296

Counseling visit to discuss the need for lung cancer screening using low-dose CT scan (LDCT). This service is for eligibility determination and shared decision-making.

2025 HCPCS code G6016

Compensator-based beam modulation treatment delivery using three or more high-resolution compensators for inverse planned treatment, per treatment session.

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 G9353

More than one CT scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (e.g., patients with complications, second CT obtained prior to surgery, other medical reasons).

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 G9791

Most recent tobacco status is tobacco-free.

2025 HCPCS code G9279

Pneumococcal screening performed and documentation of vaccination received prior to discharge.

2025 HCPCS code G9510

Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months (+/- 60 days), as demonstrated by a PHQ-9 or PHQ-9m score of less than 5 (either the score was not assessed or is greater than or equal to 5).

2025 HCPCS code G9883

Two ongoing maintenance sessions in months 16-18 of the expanded Medicare Diabetes Prevention Program (MDPP) for a beneficiary maintaining at least 5% weight loss.

2025 HCPCS code G0152

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