Showing codes G9803 (Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami) — G9833 (Patient transfer to practice after initiation of chemotherapy)
G9803 - Pt presc 135 day trmt
Long description: Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Code added date: 20170101.
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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G9804 - Pt not presc 135 day trmt
Long description: Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami
Code added date: 20170101.
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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G9805 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
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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G9806 - Pt recd cerv cyto/hpv
Long description: Patients who received cervical cytology or an hpv test
Code added date: 20170101.
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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G9807 - Pt no recd cerv cyto/hpv
Long description: Patients who did not receive cervical cytology or an hpv test
Code added date: 20170101.
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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G9808 - Pt no asthm cont med mst per
Long description: Any patients who had no asthma controller medications dispensed during the measurement year
Code added date: 20170101.
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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G9809 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
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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G9810 - Pdc 75% w/asth cont med
Long description: Patient achieved a pdc of at least 75% for their asthma controller medication
Code added date: 20170101.
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
G9811 - No pdc 75% w/asth cont med
Long description: Patient did not achieve a pdc of at least 75% for their asthma controller medication
Code added date: 20170101.
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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G9812 - Pt died during inpt/30d aft
Long description: Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure
Code added date: 20170101.
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
G9813 - Pt not died w/in 30d of proc
Long description: Patient did not die within 30 days of the procedure or during the index hospitalization
Code added date: 20170101.
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
G9814 - Death during index hosp
Long description: Death occurring during the index acute care hospitalization
Code added date: 20170101.
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
G9815 - Death not during index hosp
Long description: Death did not occur during the index acute care hospitalization
Code added date: 20170101.
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
G9816 - Death <30 day post discharge
Long description: Death occurring after discharge from the hospital but within 30 days post procedure
Code added date: 20170101.
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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G9817 - No death 30-days post-disch
Long description: Death did not occur after discharge from the hospital within 30 days post procedure
Code added date: 20170101.
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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G9818 - Doc sex activity
Long description: Documentation of sexual activity
Code added date: 20170101.
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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G9819 - Pt w/hosp anytime msmt per
Long description: Patients who use hospice services any time during the measurement period
Code added date: 20170101.
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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G9820 - Doc chlam scr test w/follow
Long description: Documentation of a chlamydia screening test with proper follow-up
Code added date: 20170101.
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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G9821 - No doc chlam scr ts w/follow
Long description: No documentation of a chlamydia screening test with proper follow-up
Code added date: 20170101.
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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G9822 - Endo abl proc yr prev ind dt
Long description: Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)
Code added date: 20170101.
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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G9823 - Endo smpl/hyst bx res doc
Long description: Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
Code added date: 20170101.
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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G9824 - Endo smpl/hyst bx res no doc
Long description: Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
Code added date: 20170101.
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
G9825 - Her-2 neg,undoc/unkn
Long description: Her-2/neu negative or undocumented/unknown
Code added date: 20170101.
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
G9826 - Transf pract aft init chemo
Long description: Patient transferred to practice after initiation of chemotherapy
Code added date: 20170101.
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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G9827 - Her-2 targ ther no init tx
Long description: Her2-targeted therapies not administered during the initial course of treatment
Code added date: 20170101.
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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G9828 - Her-2 targ ther dur init tx
Long description: Her2-targeted therapies administered during the initial course of treatment
Code added date: 20170101.
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
G9829 - Breast adj chemo admin
Long description: Breast adjuvant chemotherapy administered
Code added date: 20170101.
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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G9830 - Her-2 pos
Long description: Her-2/neu positive
Code added date: 20170101.
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
G9831 - Ajcc stg brt ca dx ii or iii
Long description: Ajcc stage at breast cancer diagnosis = ii or iii
Code added date: 20170101.
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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G9832 - Brt ca dx i, no t1/t1a/t1b
Long description: Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis does not equal = t1, t1a, t1b
Code added date: 20170101.
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
G9833 - Transf pract aft init chemo
Long description: Patient transfer to practice after initiation of chemotherapy
Code added date: 20170101.
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