Showing codes G8525 (Clinician documented that patient did not receive conventional cea) — G8564 (Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified))

G8525 - No patch closure cea
Long description: Clinician documented that patient did not receive conventional cea
Code added date: 20090101.
Code effective date: 20130101.
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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G8526 - No patch closure conv cea
Long description: Patch closure not used for patient undergoing conventional cea, reason not specified
Code added date: 20090101.
Code effective date: 20130101.
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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G8530 - Auto av fistula recd
Long description: Autogenous av fistula received
Code added date: 20090101.
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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G8531 - Pt inelig; auto av fistula
Long description: Clinician documented that patient was not an eligible candidate for autogenous av fistula
Code added date: 20090101.
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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G8532 - No auto av fistula; no reas
Long description: Clinician documented that patient received vascular access other than autogenous av fistula, reason not given
Code added date: 20090101.
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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G8535 - Eld maltreatment not doc
Long description: Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
Code added date: 20090101.
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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G8536 - No doc elder mal scrn
Long description: No documentation of an elder maltreatment screen, reason not given
Code added date: 20090101.
Code effective date: 20130101.
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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G8539 - Doc funct and care plan
Long description: Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment
Code added date: 20090101.
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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G8540 - Foa not doc as being perf
Long description: Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter
Code added date: 20090101.
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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G8541 - No doc cur funct assess
Long description: Functional outcome assessment using a standardized tool not documented, reason not given
Code added date: 20090101.
Code effective date: 20130101.
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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G8542 - Doc funct no deficiencies
Long description: Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required
Code added date: 20090101.
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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G8543 - Cur funct asses; no care pln
Long description: Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
Code added date: 20090101.
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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G8544 - Cabg measures grp
Long description: I intend to report the coronary artery bypass graft (cabg) measures group
Code added date: 20090101.
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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G8545 - Hepc measures grp
Long description: I intend to report the hepatitis c measures group
Code added date: 20100101.
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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G8546 - Cap measures grp
Long description: I intend to report the community-acquired pneumonia (cap) measures group
Code added date: 20100101.
Code effective date: 20130101.
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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G8547 - Ivd measures grp
Long description: I intend to report the ischemic vascular disease (ivd) measures group
Code added date: 20100101.
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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G8548 - Hf measures grp
Long description: I intend to report the heart failure (hf) measures group
Code added date: 20100101.
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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G8549 - Hepc mg qual act perform
Long description: All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient
Code added date: 20100101.
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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G8550 - Cap mg qual act perform
Long description: All quality actions for the applicable measures in the community-acquired pneumonia (cap) measures group have been performed for this patient
Code added date: 20100101.
Code effective date: 20130101.
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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G8551 - Hf mg qual act perform
Long description: All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patient
Code added date: 20100101.
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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G8552 - Ivd mg qual act perform
Long description: All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patient
Code added date: 20100101.
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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G8553 - Prescrip transmit via erx sy
Long description: Prescription(s) generated and transmitted via a qualified erx system
Code added date: 20100101.
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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G8556 - Ref to doc otolog eval
Long description: Referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Code added date: 20100101.
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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G8557 - Pt inelig ref otolog eval
Long description: Patient is not eligible for the referral for otologic evaluation measure
Code added date: 20100101.
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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G8558 - No ref to doc otolog eval
Long description: Not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
Code added date: 20100101.
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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G8559 - Pt ref doc oto eval
Long description: Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
Code added date: 20100101.
Code effective date: 20100101.
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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G8560 - Pt hx act drain prev 90 days
Long description: Patient has a history of active drainage from the ear within the previous 90 days
Code added date: 20100101.
Code effective date: 20100101.
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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G8561 - Pt inelig for ref oto eval
Long description: Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
Code added date: 20100101.
Code effective date: 20100101.
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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G8562 - Pt no hx act drain 90 d
Long description: Patient does not have a history of active drainage from the ear within the previous 90 days
Code added date: 20100101.
Code effective date: 20100101.
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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G8563 - Pt no ref oto reas no spec
Long description: Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
Code added date: 20100101.
Code effective date: 20130101.
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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G8564 - Pt ref oto eval
Long description: Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)
Code added date: 20100101.
Code effective date: 20100101.
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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