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ALL MEDICAL CODES IN CATEGORY Professional Services

2025 HCPCS code G9868

Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation; for use only in a Medicare-approved CMMI model; less than 10 minutes.

2025 HCPCS code G9870

Receipt and analysis of remote, asynchronous dermatologic and/or ophthalmologic images; >20 minutes; for use only in a Medicare-approved CMMI model.

2025 HCPCS code G0065

This HCPCS code signifies the provider's use of the Chiropractic MIPS Specialty Set within the Merit-based Incentive Payment System (MIPS).

2025 HCPCS code G8857

This HCPCS code is used when a provider doesn't refer a patient with dizziness for an otologic evaluation after an audiologic evaluation due to ineligibility for referral.

2025 HCPCS code G1011

Reports consultation of an unspecified clinical decision support mechanism (CDSM) for Medicare patients undergoing advanced diagnostic imaging, as defined by Medicare's appropriate use criteria program.

2025 HCPCS code G0089

Professional services for the initial home visit administering subcutaneous immunotherapy or other subcutaneous infusion drug or biological; per 15 minutes.

2025 HCPCS code G2204

Tracking code for patients aged 45-85 who received a screening colonoscopy.

2025 HCPCS code G9070

Reports information on a patient's small cell lung cancer disease status (extent unknown, staging in progress, or not listed) for a Medicare demonstration project.

2025 HCPCS code G1014

Consultation of InveniQA™ clinical decision support mechanism (CDSM) for Medicare appropriate use criteria (AUC) for advanced imaging.

2025 HCPCS code G0060

This HCPCS code signifies that the provider utilizes the Allergy/Immunology MIPS Specialty Set for reporting purposes within the Merit-based Incentive Payment System (MIPS).

2025 HCPCS code G1028

Provision of a two-pack of 8mg/0.1mL nasal naloxone spray, along with overdose education, as an add-on code to a primary opioid use disorder (OUD) treatment service.

2025 HCPCS code G0055

Indicates provider participation in the Advancing Care for Heart Disease MIPS Value Pathways (MVP) program.

2025 HCPCS code G9083

Reports the disease status of a patient's prostate cancer, limited to adenocarcinoma, where the extent of the disease is unknown, staging is in progress, or not listed in the record; used in a Medicare-approved demonstration project.

2025 HCPCS code G1017

This HCPCS code reports consultation of the HealthHelp® clinical decision support mechanism (CDSM) as defined by Medicare's appropriate use criteria (AUC) program.

2025 HCPCS code G9067

Reports the disease status for non-small cell lung cancer when the extent is unknown, staging is in progress, or not listed; used within a specific Medicare demonstration project.

2025 HCPCS code G0175

Scheduled interdisciplinary team conference with at least three professionals (excluding nursing staff) and the patient present.

2025 HCPCS code G0337

Physician evaluation and counseling for hospice care; one-time payment.

2025 HCPCS code G1018

Consultation of the Infinx® clinical decision support mechanism (CDSM) for Medicare appropriate use criteria (AUC) for advanced imaging.

2025 HCPCS code G8856

Referral to a physician for an otologic evaluation.

2025 HCPCS code G9479

Pharmacist services in hospice setting; 15 minutes.

2025 HCPCS code G9075

Reports information on the disease status of a patient's invasive female breast cancer (adenocarcinoma, M1 stage at diagnosis, metastatic, locally recurrent, or progressive; excludes ductal carcinoma origin).

2025 HCPCS code G8397

Dilated macular or fundus exam with documentation of macular edema presence/absence and retinopathy severity.

2025 HCPCS code G0042

Referral for physical, occupational, speech, or recreational therapy.

2025 HCPCS code G9064

Reporting code for a patient's Stage II non-small cell lung cancer status (NSCLC) before neoadjuvant therapy, within a Medicare demonstration project.

2025 HCPCS code G9087

Reporting code for a Medicare demonstration project, indicating a patient's colon cancer status (invasive adenocarcinoma, M1 metastasis, progressive disease).

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 G9086

Reports information on a patient's colon cancer disease status: limited invasive adenocarcinoma (T1-T4, N1-N2, M0), with no evidence of progression, recurrence, or metastasis; used within a specific Medicare demonstration project.

2025 HCPCS code G9066

Reports information on a patient's disease status for non-small cell lung cancer (NSCLC), specifically stages IIIB-IV at diagnosis (metastatic, locally recurrent, or progressive), used within a Medicare demonstration project.

2025 HCPCS code G0019

Community health integration services performed by certified auxiliary personnel (including community health workers) under physician direction; 60 minutes per calendar month.

2025 HCPCS code G0077

Limited (30 minutes) care management home visit for a new patient; use only within a Medicare-approved CMMI model.

2025 HCPCS code G0313

Immunization counseling for patients under 21, lasting 16-30 minutes, where the vaccine is not administered on the same day.

2025 HCPCS code G2101

Identifies patients aged 66 and older with frailty and an advanced illness diagnosis within a specified timeframe.

2025 HCPCS code G0071

Communication technology-based services for at least 5 minutes of virtual communication between an RHC or FQHC practitioner and patient, or remote evaluation of recorded video/images in lieu of an office visit.

2025 HCPCS code G1020

HCPCS code G1020 represents consultation of the Curbside Clinical Augmented Workflow clinical decision support mechanism (CDSM) for Medicare appropriate use criteria (AUC).

2025 HCPCS code G0057

Indicates provider participation in the Proposed Adopting Best Practices and Promoting Patient Safety Within Emergency Medicine MIPS Value Pathways (MVP) program.

2025 HCPCS code G1012

This HCPCS code represents a consultation with the AgileMD® clinical decision support mechanism (CDSM) as defined by the Medicare appropriate use criteria (AUC) program.

2025 HCPCS code G0084

Comprehensive (60 minutes) care management home visit for an existing patient; for use only in a Medicare-approved CMMI model.

2025 HCPCS code G0090

Professional services for the initial home visit administering intravenous chemotherapy or other complex infusion drugs/biologicals; billed per 15 minutes.

2025 HCPCS code G0155

Services of a clinical social worker in home health or hospice settings, billed in 15-minute increments.

2025 HCPCS code G0064

This HCPCS code signifies the provider's utilization of the Certified Nurse Midwife MIPS Specialty Set for reporting.

2025 HCPCS code G0452

Physician interpretation and written report for a molecular pathology procedure.

2025 HCPCS code G0915

Improvement in visual function not achieved within 90 days following cataract surgery.

2025 HCPCS code G0271

Medical nutrition therapy reassessment and subsequent intervention(s) following a second referral within the same year due to a change in diagnosis, medical condition, or treatment regimen (including extra time for renal disease), for groups of two or more individuals; per 30 minutes.

2025 HCPCS code G8562

Reports that a patient had no history of active ear drainage within the past 90 days.

2025 HCPCS code G0509

This HCPCS code represents a subsequent telehealth critical care consultation, typically lasting 50 minutes, conducted via telecommunication methods.

2025 HCPCS code G0513

Prolonged preventive service(s) in an office or outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (reported separately in addition to the preventive service code).

2025 HCPCS code G9091

Reports information on the disease status of a patient's rectal cancer (predominantly adenocarcinoma, T3N0M0 stage before neoadjuvant therapy) within a specific Medicare demonstration project.

2025 HCPCS code G4001

This HCPCS code signifies the use of the Diagnostic Radiology MIPS Specialty Set for reporting purposes within the Merit-based Incentive Payment System (MIPS).

2025 HCPCS code G2197

Screening for unhealthy alcohol use using a systematic method; not identified as an unhealthy alcohol user.

2025 HCPCS code G4004

This HCPCS code signifies the provider's use of the Endocrinology MIPS Specialty Set for reporting under the Merit-based Incentive Payment System (MIPS).