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ALL MEDICAL CODES IN CATEGORY Professional Services

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 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 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 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 G9003

This HCPCS code represents a coordinated care fee for high-risk patients during their initial encounter, risk-adjusted.

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 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 G8562

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

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 G9696

Documentation of medical reasons for not prescribing a long-acting inhaled bronchodilator.

2025 HCPCS code G9053

This HCPCS code reports the primary focus of an evaluation and management (E/M) visit for a cancer patient undergoing expectant management, where no cancer-directed therapy is administered.

2025 HCPCS code G2204

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

2025 HCPCS code G9321

Documentation of the number of CT and cardiac nuclear medicine studies performed within the past 12 months.

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 G9452

Documentation of medical reasons for not administering an HCV antibody test due to limited life expectancy.

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 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 G8433

Reports when a provider doesn't screen a patient for clinical depression but documents a patient or medical reason for not screening.

2025 HCPCS code G9010

Coordinated care fee for risk-adjusted maintenance, level 4, within the Medicare Coordinated Care Demonstration (MCCD).

2025 HCPCS code G0175

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

2025 HCPCS code G9431

Reporting code for inadequate melanoma pathology reports lacking key features.

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 G9987

Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment.

2025 HCPCS code G9959

This HCPCS code reports when a patient has not been prescribed systemic antimicrobials.

2025 HCPCS code G9542

Documented reassessment of the appropriateness of inferior vena cava (IVC) filter removal within three months of placement.

2025 HCPCS code G9077

Reports information on prostate cancer disease status for a Medicare-approved demonstration project.

2025 HCPCS code G8721

Documentation of primary tumor (pT), regional lymph nodes (pN), and histologic grade in a pathology report.

2025 HCPCS code G0042

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

2025 HCPCS code G9734

Patient refused to participate in a program measure.

2025 HCPCS code G8561

Documentation of a patient's history of ear discharge without referral to an ENT specialist due to ineligibility.

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 G8559

Referral to an otolaryngologist or otologist for otologic evaluation.

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 G8396

Reporting code for when a left ventricular ejection fraction (LVEF) assessment is not performed or documented.

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 G9992

Tracks palliative care service utilization during a defined measurement period.

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.