Showing codes G9238 (I intend to report the optimizing patient exposure to ionizing radiation measures group) — G9268 (Documentation of patient with one or more complications within 90 days)
G9238 - Op rad mg intent
Long description: I intend to report the optimizing patient exposure to ionizing radiation 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).
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G9239 - Doc rsn hemod & cath acc
Long description: Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
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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G9240 - Doc pt w cath maint dia
Long description: Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated
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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G9241 - Doc pt w out cath maint dia
Long description: Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated
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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G9242 - Doc viral load >=200
Long description: Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed
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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G9243 - Doc viral load <200
Long description: Documentation of viral load less than 200 copies/ml
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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G9244 - Antiviral not ordered
Long description: Antiretroviral thereapy not prescribed
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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G9245 - Antiviral ordered
Long description: Antiretroviral therapy prescribed
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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G9246 - No enc or enc/vir ld 90days
Long description: Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
Code added date: 20140101.
Code effective date: 20250101.
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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G9247 - 2 enc enc/vir ld 90d
Long description: Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
Code added date: 20140101.
Code effective date: 20250101.
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
G9248 - No med visit 6mo
Long description: Patient did not have a medical visit in the last 6 months
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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G9249 - Med visit w in 6mo
Long description: Patient had a medical visit in the last 6 months
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
G9250 - Doc of pain comfort 48hr
Long description: Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment
Code added date: 20140101.
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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G9251 - Doc no pain comfort 48hr
Long description: Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
Code added date: 20140101.
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
G9252 - Neo detect scrn colo
Long description: Adenoma(s) or other neoplasm detected during screening colonoscopy
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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G9253 - No neo detect scrn colo
Long description: Adenoma(s) or other neoplasm not detected during screening colonoscopy
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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G9254 - Doc pt dischg >2d
Long description: Documentation of patient discharged to home later than post-operative day 2 following cea or cas
Code added date: 20140101.
Code effective date: 20250101.
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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G9255 - Pt dc home 2nd po day
Long description: Documentation of patient discharged to home no later than post operative day 2 following cea or cas
Code added date: 20140101.
Code effective date: 20250101.
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
G9256 - Doc of pat death after cas
Long description: Documentation of patient death following cas
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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PDF
G9257 - Doc of pat stroke after cas
Long description: Documentation of patient stroke following cas
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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PDF
G9258 - Doc of pat stroke after cea
Long description: Documentation of patient stroke following cea
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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PDF
G9259 - Survive/no stroke post cas
Long description: Documentation of patient survival and absence of stroke following cas
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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PDF
G9260 - Doc of pat death after cea
Long description: Documentation of patient death following cea
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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PDF
G9261 - Survive/no stroke post cea
Long description: Documentation of patient survival and absence of stroke following cea
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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PDF
G9262 - Doc of death post-aaa repair
Long description: Documentation of patient death in the hospital following endovascular aaa repair
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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G9263 - Doc of disch post-aaa repair
Long description: Documentation of patient discharged alive following endovascular aaa repair
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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PDF
G9264 - Doc rsn hemod w/cath >=90d
Long description: Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
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).
HTML
PDF
G9265 - Doc cath >90d for maint dia
Long description: Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access
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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PDF
G9266 - Norsn pt cath >=90d
Long description: Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access
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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PDF
G9267 - Doc comp or mort w in 30d
Long description: Documentation of patient with one or more complications or mortality within 30 days
Code added date: 20140101.
Code effective date: 20220101.
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
G9268 - Doc comp or mort w in 90d
Long description: Documentation of patient with one or more complications within 90 days
Code added date: 20140101.
Code effective date: 20220101.
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