2025 HCPCS code G9419

Documentation of medical reasons for omitting histological type or NSCLC-NOS classification in a pathology report for a non-small cell lung cancer (NSCLC) specimen.

Follow the specific guidelines for the relevant quality reporting program. Ensure proper documentation of medical reasons for omitting the information.

The code is used to document the reason for not providing a complete histological description or explanation for an NSCLC-NOS classification in the pathology report. This is needed for quality reporting and to avoid misinterpretations.

Pathologist or physician documenting the reason for the omission of histological type or NSCLC-NOS classification in the pathology report.

IMPORTANT G9418 (reporting specific histologic type or NSCLC-NOS with explanation) and G9420 (specimen site other than anatomic location of lung or not classified as primary NSCLC) are related codes.

In simple words: This code is for when a doctor's report about lung cancer doesn't specify the exact type of cancer or explain why it's listed as "not otherwise specified".The doctor must have a good reason for not providing this information, and that reason is recorded using this code.

This HCPCS code, G9419, is used to report the documentation of medical reasons for not including the specific histologic type of non-small cell lung cancer (NSCLC) or an explanation for a not otherwise specified (NOS) classification in a pathology report.The medical record must contain documented medical reasons for the omission, such as the specimen being non-diagnostic or not containing cancer. This code is primarily for performance measurement and quality reporting.

Example 1: A pathology report for a lung biopsy indicates NSCLC, but the specific subtype (e.g., adenocarcinoma, squamous cell carcinoma) isn't determined due to insufficient tissue. G9419 is used to document the reason (insufficient tissue)., A patient with known NSCLC undergoes a lymph node biopsy to assess for metastasis.The lymph node biopsy is negative for malignancy. G9419 is reported because the original diagnosis of NSCLC was not specified., A small, inconclusive lung nodule is biopsied and shows no malignant cells. Even though the results are negative for cancer, the pathologist must document the reason for not specifying the histologic type in the original NSCLC diagnosis.G9419 would apply.

* Pathology report with a diagnosis of NSCLC.* Clear explanation for the omission of specific histologic type or NSCLC-NOS classification.* Documentation of medical reasons, such as insufficient tissue, non-diagnostic specimen, or specimen not containing cancer.

** This code is primarily used for quality reporting purposes and may be subject to specific guidelines based on the reporting program.

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