Showing codes G9787 (Patient alive as of the last day of the measurement year) — G9817 (Death did not occur after discharge from the hospital within 30 days post procedure)
G9787 - Pt alive
Long description: Patient alive as of the last day of the measurement year
Code added date: 20170101.
Code effective date: 20190101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9789 - Record bp ip, er, urg/self
Long description: Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits
Code added date: 20170101.
Code effective date: 20230101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9790 - Most rct bp >/= 140/90
Long description: Most recent bp is greater than 140/90 mm hg, or blood pressure not documented
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9791 - Most rct tob stat free
Long description: Most recent tobacco status is tobacco free
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9792 - Most rct tob stat not free
Long description: Most recent tobacco status is not tobacco free
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9793 - Pt on daily asa/antiplat
Long description: Patient is currently on a daily aspirin or other antiplatelet
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9794 - Doc med rsn no daily aspirin
Long description: Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)
Code added date: 20170101.
Code effective date: 20180101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9795 - Pt no daily asa/antiplat
Long description: Patient is not currently on a daily aspirin or other antiplatelet
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9796 - Pt not currently on statin
Long description: Patient is currently on a statin therapy
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9797 - Pt currently on statin
Long description: Patient is not on a statin therapy
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9798 - D/c ami btw 7/1-6/30 meas pd
Long description: Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9799 - Med disp evt indic hx asth
Long description: Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9800 - Pt id intol/alleg beta-block
Long description: Patients who are identified as having an intolerance or allergy to beta-blocker therapy
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9801 - Nonacut transf from inpt
Long description: Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9802 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9803 - Pt presc 135 day trmt
Long description: Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9804 - Pt not presc 135 day trmt
Long description: Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9805 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9806 - Pt recd cerv cyto/hpv
Long description: Patients who received cervical cytology or an hpv test
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9807 - Pt no recd cerv cyto/hpv
Long description: Patients who did not receive cervical cytology or an hpv test
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9808 - Pt no asthm cont med mst per
Long description: Any patients who had no asthma controller medications dispensed during the measurement year
Code added date: 20170101.
Code effective date: 20230101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9809 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
Code effective date: 20230101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9810 - Pdc 75% w/asth cont med
Long description: Patient achieved a pdc of at least 75% for their asthma controller medication
Code added date: 20170101.
Code effective date: 20230101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9811 - No pdc 75% w/asth cont med
Long description: Patient did not achieve a pdc of at least 75% for their asthma controller medication
Code added date: 20170101.
Code effective date: 20230101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9812 - Pt died during inpt/30d aft
Long description: Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9813 - Pt not died w/in 30d of proc
Long description: Patient did not die within 30 days of the procedure or during the index hospitalization
Code added date: 20170101.
Code effective date: 20170101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9814 - Death during index hosp
Long description: Death occurring during the index acute care hospitalization
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9815 - Death not during index hosp
Long description: Death did not occur during the index acute care hospitalization
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF
G9816 - Death <30 day post discharge
Long description: Death occurring after discharge from the hospital but within 30 days post procedure
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G9817 - No death 30-days post-disch
Long description: Death did not occur after discharge from the hospital within 30 days post procedure
Code added date: 20170101.
Code effective date: 20210101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
HTML
PDF