Showing codes EX (Expatriate beneficiary) — G0019 (Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals)

EX - Expatriate beneficiary
Long description: Expatriate beneficiary
Code added date: 20150401.
Code effective date: 20150401.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

EY - No md order for item/service
Long description: No physician or other licensed health care provider order for this item or service
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F1 - Left hand, second digit
Long description: Left hand, second digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F2 - Left hand, third digit
Long description: Left hand, third digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F3 - Left hand, fourth digit
Long description: Left hand, fourth digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F4 - Left hand, fifth digit
Long description: Left hand, fifth digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F5 - Right hand, thumb
Long description: Right hand, thumb
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F6 - Right hand, second digit
Long description: Right hand, second digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F7 - Right hand, third digit
Long description: Right hand, third digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F8 - Right hand, fourth digit
Long description: Right hand, fourth digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

F9 - Right hand, fifth digit
Long description: Right hand, fifth digit
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FA - Left hand, thumb
Long description: Left hand, thumb
Code added date: 19950101.
Code effective date: 19990101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FB - Item provided without cost
Long description: Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)
Code added date: 20060101.
Code effective date: 20080101.
Coverage Code: I (A code denoting Medicare coverage status).
HTML    PDF

FC - Part credit, replaced device
Long description: Partial credit received for replaced device
Code added date: 20080101.
Code effective date: 20080101.
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

FP - Svc part of family plan pgm
Long description: Service provided as part of family planning program
Code added date: 19870101.
Code effective date: 20050101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FQ - Audio-only service
Long description: The service was furnished using audio-only communication technology
Code added date: 20220101.
Code effective date: 20220101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FR - Two-way a/v dir supervision
Long description: The supervising practitioner was present through two-way, audio/video communication technology
Code added date: 20220101.
Code effective date: 20220101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FS - Split or shared e/m visit
Long description: Split (or shared) evaluation and management visit
Code added date: 20220101.
Code effective date: 20220101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FT - Separate, unrelated e/m
Long description: Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated)
Code added date: 20220101.
Code effective date: 20220101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FX - X-ray taken using film
Long description: X-ray taken using film
Code added date: 20170101.
Code effective date: 20170101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

FY - Computed radiography x-ray
Long description: X-ray taken using computed radiography technology/cassette-based imaging
Code added date: 20180101.
Code effective date: 20180101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

G0 - Telestroke
Long description: Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke
Code added date: 20190101.
Code effective date: 20190101.
Coverage Code: C (A code denoting Medicare coverage status).
HTML    PDF

G0008 - Admin influenza virus vac
Long description: Administration of influenza virus vaccine
Code added date: 19940101.
Code effective date: 19960101.
Pricing Indicator Code(s): 54 ; (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

G0009 - Admin pneumococcal vaccine
Long description: Administration of pneumococcal vaccine
Code added date: 19940101.
Code effective date: 19960101.
Pricing Indicator Code(s): 54 ; (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

G0010 - Admin hepatitis b vaccine
Long description: Administration of hepatitis b vaccine
Code added date: 19940101.
Code effective date: 20231001.
Pricing Indicator Code(s): 54 ; (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

G0011 - Hiv prep counsel, md 15-30m
Long description: Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes
Code added date: 20240102.
Code effective date: 20240102.
Pricing Indicator Code(s): 13 ; (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

G0012 - Injection of hiv prep drug
Long description: Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle
Code added date: 20240102.
Code effective date: 20240102.
Pricing Indicator Code(s): 13 ; (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

G0013 - Hiv prep counsel, clin staff
Long description: Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence
Code added date: 20240102.
Code effective date: 20240102.
Pricing Indicator Code(s): 13 ; (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

G0017 - Crisis psychotherapy 60m
Long description: Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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

G0018 - Crisis psychotherapy add 30m
Long description: Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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

G0019 - Comm hlth intg svs sdoh 60mn
Long description: Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 13 ; (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