Showing codes G9207 (Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c) — G9237 (I intend to report the general surgery measures group)
G9207 - Hep c genotype prior to med
Long description: Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
Code added date: 20140101.
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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G9208 - No reason for no hep c geno
Long description: Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
Code added date: 20140101.
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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G9209 - Hep c rna 4to12 wk after med
Long description: Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment
Code added date: 20140101.
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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G9210 - No hepc rna after med docrsn
Long description: Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)
Code added date: 20140101.
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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G9211 - No hepc rna after med no rsn
Long description: Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not given
Code added date: 20140101.
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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G9212 - Doc of dsm-iv init eval
Long description: Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation
Code added date: 20140101.
Code effective date: 20140101.
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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G9213 - No doc of dsm-iv
Long description: Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
Code added date: 20140101.
Code effective date: 20140101.
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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G9214 - Cd4 count documented
Long description: Cd4+ cell count or cd4+ cell percentage results documented
Code added date: 20140101.
Code effective date: 20150101.
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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G9215 - No cd4 count no reason
Long description: Cd4+ cell count or percentage not documented as performed, reason not given
Code added date: 20140101.
Code effective date: 20150101.
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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G9216 - No pcp proph at dx no reason
Long description: Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
Code added date: 20140101.
Code effective date: 20150101.
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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G9217 - No pcp proph low cd4 norsn
Long description: Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
Code added date: 20140101.
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
G9218 - No pcp prop low at cd4 norsn
Long description: Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given
Code added date: 20140101.
Code effective date: 20150101.
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
G9219 - No oder pjp for med reason
Long description: Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
Code added date: 20140101.
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
G9220 - No order for pjp for medrsn
Long description: Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
Code added date: 20140101.
Code effective date: 20150101.
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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G9221 - Pjp proph prescribed
Long description: Pneumocystis jiroveci pneumonia prophlaxis prescribed
Code added date: 20140101.
Code effective date: 20150101.
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
G9222 - Pjp proph ordered low cd4
Long description: Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3
Code added date: 20140101.
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
G9223 - Pjp proph ordered cd4 low
Long description: Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%
Code added date: 20140101.
Code effective date: 20140101.
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
G9224 - Medrsn no foot exam
Long description: Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)
Code added date: 20140101.
Code effective date: 20150101.
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
G9225 - Norsn no foot exam
Long description: Foot exam was not performed, reason not given
Code added date: 20140101.
Code effective date: 20140101.
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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G9226 - 3 comp foot exam completed
Long description: Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)
Code added date: 20140101.
Code effective date: 20160101.
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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G9227 - Foa doc, care plan not doc
Long description: Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
Code added date: 20140101.
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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G9228 - Gc chl syp documented
Long description: Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)
Code added date: 20140101.
Code effective date: 20140101.
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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G9229 - Ptrsn no gc chl syp test
Long description: Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)
Code added date: 20140101.
Code effective date: 20240101.
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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G9230 - Norsn for gc chl syp test
Long description: Chlamydia, gonorrhea, and syphilis not screened, reason not given
Code added date: 20140101.
Code effective date: 20140101.
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
G9231 - Doc esrd dia trans preg
Long description: Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period
Code added date: 20140101.
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
G9232 - Ptrsn no comm comorbid
Long description: Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)
Code added date: 20140101.
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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G9233 - Tkr composite
Long description: All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient
Code added date: 20140101.
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
G9234 - Tkr intent
Long description: I intend to report the total knee replacement measures group
Code added date: 20140101.
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).
HTML
PDF
G9235 - Gs mg composite
Long description: All quality actions for the applicable measures in the general surgery measures group have been performed for this patient
Code added date: 20140101.
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
G9236 - Op rad mg composite
Long description: All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient
Code added date: 20140101.
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
G9237 - Gs mg intent
Long description: I intend to report the general surgery measures group
Code added date: 20140101.
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).
HTML
PDF