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ALL MEDICAL CODES IN CATEGORY Procedures

2025 HCPCS code G8935

Clinician prescribed angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy.

2025 HCPCS code G4022

Otolaryngology MIPS specialty set.

2025 HCPCS code G4012

Interventional radiology MIPS specialty set.

2025 HCPCS code G4014

Nephrology MIPS Specialty Set. This code is for reporting purposes only and is not a billable service.

2025 HCPCS code G8845

This code represents the prescription of positive airway pressure (PAP) therapy for a patient diagnosed with moderate to severe obstructive sleep apnea.

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 G9016

Smoking cessation counseling, individual, per session (6-10 minutes), used in Medicare demonstration projects.

2025 HCPCS code G9408

Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days of atrial fibrillation ablation.

2025 HCPCS code G9694

Hospice services utilized by the patient any time during the measurement period.

2025 HCPCS code G9599

Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT.

2025 HCPCS code G9721

Patient is not ambulatory, bedridden, immobile, or wheelchair-bound (various levels of dependence).

2025 HCPCS code G9758

Patient in hospice at any time during the measurement period.

2025 HCPCS code G9727

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 G9839

Anti-EGFR monoclonal antibody therapy

2025 HCPCS code G9354

One CT scan or no CT scan of the paranasal sinuses ordered within 90 days after the date of diagnosis.

2025 HCPCS code G9255

Report this code when the provider discharges a patient home within two days of carotid artery stenting (CAS) without major complications.

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 G9516

Documentation of improved visual acuity within 90 days post-surgery for primary rhegmatogenous retinal detachment repair.

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 G9627

Documentation of absence of bladder injury during and up to 30 days post pelvic surgery.

2025 HCPCS code G0492

Dialysis procedure with a single evaluation for acute kidney injury, excluding ESRD.

2025 HCPCS code G9306

Intervention for a leak of endoluminal contents through a surgical anastomosis.

2025 HCPCS code G0012

Injection of pre-exposure prophylaxis (PrEP) drug for HIV prevention.

2025 HCPCS code G9471

Absence of central dual-energy x-ray absorptiometry (DXA) bone density scan order or documentation within the past two years.

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 G8880

Documentation of reason for not performing sentinel lymph node biopsy in breast cancer.

2025 HCPCS code G9756

Surgical procedure involving silicone oil.

2025 HCPCS code G0186

Destruction of a localized choroidal lesion (e.g., choroidal neovascularization) using photocoagulation with feeder vessel technique; one or more sessions.

2025 HCPCS code G0491

Dialysis procedure at a Medicare-certified ESRD facility for acute kidney injury without ESRD.

2025 HCPCS code G0342

Laparoscopic islet cell transplant, including portal vein catheterization and infusion.

2025 HCPCS code G0276

Blinded procedure for lumbar stenosis; percutaneous image-guided lumbar decompression (PILD), or placebo control, in an approved coverage with evidence development (CED) clinical trial.

2025 HCPCS code G0516

Insertion of four or more non-biodegradable drug delivery implants.

2025 HCPCS code G0269

Placement of an occlusive device (e.g., Angio-Seal plug) into a venous or arterial access site after a surgical or interventional procedure to control bleeding.

2025 HCPCS code G8577

Re-exploration of the mediastinum due to bleeding after cardiac surgery.

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 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 G9549

Documentation of medical reasons for follow-up imaging.

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 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 G9416

Documentation shows that a patient who turns 13 had one Tdap, Td, or tetanus and diphtheria vaccine between their 10th and 13th birthdays.

2025 HCPCS code G8724

Lack of documentation of pT category, pN category, and histologic grade in the pathology report without a stated reason.

2025 HCPCS code G9386

Absence of Hepatitis C virus (HCV) screening within 12 months, with no documented reason.

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