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Patient unable to complete the LEPF PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity, or language incompatibility, and an adequate proxy is not available.
2025 HCPCS code G8880
Documentation of reason for not performing sentinel lymph node biopsy in breast cancer.
2025 HCPCS code G9322
Failure to document the number of previous CT and cardiac nuclear medicine studies within the past year, without explanation.
2025 HCPCS code G9147
Reports any method of outpatient pulsatile or continuous intravenous insulin treatment (OIVIT), with dosing based on respiratory quotient, urine urea nitrogen (UUN), glucose, and/or potassium levels.
2025 HCPCS code G9772
Documentation of medical reason for not achieving a body temperature ≥35.5°C (95.9°F) within 30 minutes before or 15 minutes after anesthesia.
2025 HCPCS code G9890
One-time payment to a new Medicare Diabetes Prevention Program (MDPP) supplier for a single session after a beneficiary transfers from another supplier.
2025 HCPCS code G9822
Endometrial ablation procedure in the year prior to the index date.
2025 HCPCS code G9644
Reports patients who are current smokers who abstained from smoking before receiving anesthesia on the day of an elective surgical procedure.
2025 HCPCS code G9649
Documentation of a psoriasis patient's achievement of specific disease control benchmarks after at least 6 months of oral systemic or biologic medication, as measured by assessment tools like PGA, BSA, PASI, or DLQI.
2025 HCPCS code G9731
Patient unable to complete the LEPF PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity, or language incompatibility, and an adequate proxy is not available.
2025 HCPCS code G8865
Documentation of medical reason for not administering pneumococcal vaccine to a patient with inflammatory bowel disease.
2025 HCPCS code G9412
Hospital admission within 180 days of a cardiac implantable electronic device (CIED) implantation, replacement, or revision, due to infection requiring device removal or surgical revision.
2025 HCPCS code G9555
Documentation of medical reasons for not recommending follow-up imaging after an incidental finding of a small thyroid nodule on chest/neck CT, MRI, or ultrasound.
2025 HCPCS code G9543
Documentation of at least two attempts to contact a patient for IVC filter removal reassessment within three months of placement.
2025 HCPCS code G9630
Documentation of absence of bowel injury following pelvic or abdominal surgery.
2025 HCPCS code G9393
This code signifies that a patient, initially scoring above 9 on the PHQ-9 depression scale, achieved remission within 12 months, as indicated by a subsequent PHQ-9 score below 5.
2025 HCPCS code G9456
Documentation of medical or patient reasons for not performing HCC screening using ultrasound, CT, or MRI in patients with chronic cirrhosis due to HCV.
2025 HCPCS code G9737
Indicates inability to complete elbow/wrist/hand functional status assessment due to patient limitations.
2025 HCPCS code G9651
Documentation of failure to meet specified benchmarks using psoriasis assessment tools (e.g., PGA, BSA, PASI, DLQI) after at least 6 months of oral systemic or biologic medication.
2025 HCPCS code G9544
Documentation of a patient not undergoing IVC filter removal within three months of placement after reassessment or two attempts to contact the patient for reassessment.
2025 HCPCS code G9413
Documentation shows no record that the provider admitted a patient with a replaced or revised cardiac implantable electronic device (CIED) with an infection leading to device removal or surgical revision.
2025 HCPCS code G9637
Final reports with documentation of one or more dose reduction techniques used during a CT scan for patients 18 years or older.
2025 HCPCS code G8567
Report this code when the provider does not verify and document a patient's sudden or rapidly progressive hearing loss.
2025 HCPCS code G6010
Radiation treatment delivery; two separate treatment areas, or single area with at least three ports, using ≥20 MeV; multiple blocks.
2025 HCPCS code G9606
Intraoperative cystoscopy to evaluate for lower urinary tract injury during a hysterectomy for pelvic organ prolapse.
2025 HCPCS code G9013
This HCPCS code reports an end-stage renal disease (ESRD) demonstration project basic bundle level one service.
2025 HCPCS code G9839
Anti-EGFR monoclonal antibody therapy
2025 HCPCS code G8844
No documentation or measurement of the apnea hypopnea index (AHI), respiratory disturbance index (RDI), or respiratory event index (REI) was completed within two months of the initial evaluation for suspected obstructive sleep apnea, and documentation does not include a reason.
2025 HCPCS code G9624
Lack of documentation showing patient screening for unhealthy alcohol use via a systematic method, or lack of documentation showing brief counseling if identified as an unhealthy alcohol user.
2025 HCPCS code G9547
Documentation of incidental finding of a simple-appearing cystic kidney lesion (Bosniak I or II) or adrenal lesion ≤ 1.0 cm or >1.0 cm but ≤4.0 cm, classified as likely benign, on abdominal imaging.
2025 HCPCS code G9502
Documentation of medical reason for not performing a foot exam.
2025 HCPCS code G9610
Indicates that an anti-platelet agent or p2y12 antagonist was not prescribed for a patient undergoing carotid endarterectomy due to a documented medical reason.
2025 HCPCS code G9306
Intervention for a leak of endoluminal contents through a surgical anastomosis.
2025 HCPCS code G9946
Indicates that a patient's back pain wasn't measured using a visual analog scale or numeric pain scale approximately one year post-surgery.
2025 HCPCS code G9956
Administration of at least two prophylactic antiemetic drugs from different classes pre- and/or intraoperatively to prevent postoperative nausea and vomiting.
2025 HCPCS code G9660
Documentation of medical reason(s) for a colonoscopy on a patient aged 86 or older.
2025 HCPCS code G0492
Dialysis procedure with a single evaluation for acute kidney injury, excluding ESRD.
2025 HCPCS code G9411
Absence of infection requiring device removal or surgical revision within 180 days post-CIED implantation, replacement, or revision.
2025 HCPCS code G9457
Failure to obtain abdominal imaging (ultrasound, contrast-enhanced CT, or MRI) for HCC detection in a patient with chronic HCV cirrhosis without documented reason.
2025 HCPCS code G9386
Absence of Hepatitis C virus (HCV) screening within 12 months, with no documented reason.
2025 HCPCS code G9455
Abdominal imaging (ultrasound, contrast-enhanced CT, or contrast MRI) performed to screen for hepatocellular carcinoma (HCC) in a patient with chronic cirrhosis due to hepatitis C virus infection.
2025 HCPCS code G2150
Report this code to indicate that a multimodal pain management approach was not used.
2025 HCPCS code G0429
Dermal filler injection(s) for treating facial lipodystrophy syndrome (LDS) resulting from highly active antiretroviral therapy (HAART).
2025 HCPCS code G1025
Reports patient-months with more than one Medicare capitated payment (MCP) provider.
2025 HCPCS code G0330
Facility services for dental rehabilitation procedures requiring monitored anesthesia and operating room use.
2025 HCPCS code G0293
This HCPCS code covers non-covered surgical procedures performed under conscious sedation, regional, general, or spinal anesthesia for patients in qualifying Medicare clinical trials.
2025 HCPCS code G0289
This HCPCS code represents arthroscopic knee surgery involving the removal of loose bodies or foreign material, debridement, or cartilage shaving (chondroplasty) in a separate compartment of the same knee during another arthroscopic procedure.
2025 HCPCS code G9885
Reporting code for two Medicare Diabetes Prevention Program (MDPP) maintenance sessions (months 22-24) with ≥5% weight loss.
2025 HCPCS code G8598
HCPCS code G8598 represents the administration of aspirin or another antiplatelet therapy for a patient with ischemic vascular disease (IVD).
2025 HCPCS code G8404
Lower extremity neurological exam performed and documented.
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