Showing codes G9225 (Foot exam was not performed, reason not given) — G9255 (Documentation of patient discharged to home no later than post operative day 2 following cea or cas)
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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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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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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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).
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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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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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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).
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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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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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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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PDF
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).
HTML
PDF