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Nephrology MIPS Specialty Set. This code is for reporting purposes only and is not a billable service.
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 G0428
Collagen meniscus implant procedure for filling meniscal defects.
2025 HCPCS code G2141
Supplemental tracking code for leg pain assessment post-surgery, measuring pain levels using VAS or numeric pain scales at three months post-op.
2025 HCPCS code G9945
Report this code if a patient had cancer, acute fracture, or infection related to the lumbar spine or neuromuscular, idiopathic, or congenital lumbar scoliosis.
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.
2025 HCPCS code G9553
Documentation of prior thyroid disease in a patient with an incidentally found small thyroid nodule on CT, MRI, or ultrasound.
2025 HCPCS code G9913
Lack of Hepatitis B Virus (HBV) assessment before anti-tumor necrosis factor (anti-TNF) therapy initiation.
2025 HCPCS code G9874
This HCPCS code represents four core sessions (approximately 1 hour each) of the Medicare expanded Diabetes Prevention Program (MDPP) for a Medicare beneficiary.
2025 HCPCS code G6012
Radiation treatment delivery to three or more separate areas using 6-10 MeV energy levels, including custom blocking, tangential ports, wedges, rotational beam, compensators, and electron beam.
2025 HCPCS code G9531
Documentation of a valid reason for ordering a computed tomography (CT) head scan.
2025 HCPCS code G0012
Injection of pre-exposure prophylaxis (PrEP) drug for HIV prevention.
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 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.
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