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AJCC stage at breast cancer diagnosis is I (Ia or Ib) and the T-stage at diagnosis is not T1, T1a, or T1b.
2025 HCPCS code M1032
This code reports an adult patient currently undergoing pharmacotherapy for opioid use disorder (OUD).
2025 HCPCS code G8535
Elder maltreatment screen not documented due to patient ineligibility.
2025 HCPCS code G8841
Sleep apnea symptoms not assessed, reason not given.
2025 HCPCS code M1038
Patients with a diagnosis of lumbar spine region fracture at the time of the procedure.
2025 HCPCS code M1028
Documentation of patients with a primary headache diagnosis and imaging other than CT or MRI obtained.
2025 HCPCS code M1141
Functional status was not measured by the Oxford Knee Score (OKS) or the Knee Injury and Osteoarthritis Outcome Score Joint Replacement (KOOS, JR.) at one year (9 to 15 months) postoperatively.
2025 HCPCS code G8709
URI episodes with a competing diagnosis within three days.
2025 HCPCS code G9821
This code reports the absence of documentation for a chlamydia screening test and appropriate follow-up.
2025 HCPCS code G8866
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal).
2025 HCPCS code G8798
Reporting code when prostate tissue is absent in a radical prostatectomy specimen for prostate cancer.
2025 HCPCS code G9422
This HCPCS code tracks the documentation of pT and pN categories and histological type in primary lung carcinoma resection reports.
2025 HCPCS code G8722
Documentation of medical reasons for omitting primary tumor, lymph node, or histologic grade in a pathology report.
2025 HCPCS code G9745
Documented reason for not screening or recommending follow-up for high blood pressure.
2025 CPT code 0519F
Documents a planned chemotherapy regimen, including drug(s), dose, and duration, prior to starting a new treatment course.
2025 HCPCS code G9421
Primary non-small cell lung cancer (NSCLC) lung biopsy and cytology specimen report does not document classification into specific histologic type, or histologic type does not follow IASLC guidance, or is classified as NSCLC-NOS but without an explanation.
2025 HCPCS code G8854
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy.
2025 HCPCS code G8540
Functional outcome assessment not performed, patient ineligible.
2025 HCPCS code G8735
Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given.
2025 HCPCS code G9403
Clinician-documented reason for the patient not having a 30-day follow-up after discharge from an acute inpatient setting.
2025 HCPCS code G9521
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months for a patient with asthma.
2025 HCPCS code G9460
Tobacco assessment or tobacco cessation intervention not performed, reason not given.
2025 HCPCS code G9751
This code is used to track patients who died at any time during the 24-month measurement period of the applicable program measure.
2025 HCPCS code G9434
Assessment of poorly controlled asthma without the use of a standardized tool and lacking a documented reason for omission.
2025 HCPCS code G9410
Patient admitted within 180 days, status post CIED implantation, replacement, or revision with an infection requiring device removal or surgical revision.
2025 HCPCS code G8395
Left ventricular ejection fraction (LVEF) is greater than or equal to 40 percent, or left ventricular systolic (LVS) function is normal or mildly depressed.
2025 HCPCS code G8428
This code signifies that the eligible clinician did not document obtaining, updating, or reviewing the patient's current medication list, and no reason was provided for this omission.
2025 HCPCS code G8917
Patient with a preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis, but the antibiotic was not initiated on time.
2025 HCPCS code G8915
Documents that the patient did not experience a hospital transfer or admission upon discharge from an ambulatory surgical center (ASC).
2025 HCPCS code G8907
No adverse events in ambulatory surgical center (ASC): No patient burn, fall, wrong site/side/patient/procedure/implant surgery, or hospital transfer/admission.
2025 HCPCS code G8908
Patient documented to have received a burn prior to discharge.
2025 HCPCS code G8840
Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between the initial testing and initiation of therapy).
2025 HCPCS code G8843
Documentation of reason(s) for not measuring an apnea hypopnea index (AHI), a respiratory disturbance index (RDI), or a respiratory event index (REI).
2025 HCPCS code G9188
Beta-blocker therapy not prescribed, reason not given.
2025 HCPCS code G9274
Blood pressure out of normal limits.
2025 HCPCS code G9383
Patient received screening for HCV infection within the 12-month reporting period.
2025 HCPCS code G9342
Search not conducted for prior CT studies at external facilities within the past 12 months, available through a secure shared archive, reason not given.
2025 HCPCS code G9508
Documentation that the patient is not on a statin medication.
2025 HCPCS code G9626
Documented medical reason for not reporting bladder injury.
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 G9648
Patients with a 90-day modified Rankin Scale (mRS) score greater than 2 following endovascular stroke treatment.
2025 HCPCS code G9728
Patient refused to participate in a quality measure.
2025 HCPCS code G9758
Patient in hospice at any time during the measurement period.
2025 HCPCS code G9722
Documented history of renal failure or baseline serum creatinine ≥ 4.0 mg/dl
2025 HCPCS code G9777
Patient did not receive at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively.
2025 HCPCS code G9716
This code is used when a patient's BMI is outside the normal range, and a follow-up plan is not completed due to a documented medical reason.
2025 HCPCS code G9367
At least two orders for high-risk medications from the same drug class.
2025 HCPCS code G8651
Residual score for hip impairment calculated; score is 0 or greater.
2025 HCPCS code G9732
Patient refused to participate in a program measure.
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