Section G: Professional/Physician Procedures and Services

1276 procedure codes. CMS quarterly release — October 2026.

HCPCS Level II codes are updated quarterly by CMS. This listing reflects the October 2026 quarterly release.
Code Description Pricing
G0008 Admin influenza virus vac 54
G0009 Admin pneumococcal vaccine 54
G0010 Admin hepatitis b vaccine 54
G0011 Hiv prep counsel, md 15-30m 13
G0012 Injection of hiv prep drug 13
G0013 Hiv prep counsel, clin staff 13
G0017 Crisis psychotherapy 60m 13
G0018 Crisis psychotherapy add 30m 13
G0019 Comm hlth intg svs sdoh 60mn 13
G0022 Comm hlth intg svs add 30 m 13
G0023 Pin service 60m per month 13
G0024 Pin srv add 30 min pr m 13
G0027 Semen analysis 21
G0029 No tob scr/cess int 00
G0030 Pt scr tob & cess int 00
G0031 Pall serv during meas 00
G0032 2+ antipsy schiz 00
G0033 2+ benzo seiz 00
G0034 Pall serv during meas 00
G0035 Pt ed pos 23 00
G0036 Pt/ptn decln assess 00
G0037 Pt not able to participate 00
G0038 Clin pt no ref 00
G0039 Pt no ref, rn spec 00
G0040 Pt phys/occ therapy 00
G0041 Pt/ptn decln referral 00
G0042 Ref to therapy 00
G0043 Pt mech pros ht valv 00
G0044 Pt mitral stenosis 00
G0045 Mrs 90 days post stk 00
G0046 No mrs 90 days post stk 00
G0047 Ped blunt hd traum 00
G0048 Pall serv during meas 00
G0049 Main hemo in-cntr 00
G0050 Pt w/ lmted life expec 00
G0051 Pt hospice mnth 00
G0052 Pt peri dialysis dur mo 00
G0053 Adv rheum pt care mvp 00
G0054 Strk cr prev pos outcme mvp 00
G0055 Adv care heart dx mvp 00
G0057 Best pct pt safety em mvp 00
G0058 Imprv care le jnt repr mvp 00
G0059 Pt sfty pos exp w aneth mvp 00
G0060 Allergy/immunology ss 00
G0061 Anesthesiology ss 00
G0062 Audiology ss 00
G0063 Cardiology ss 00
G0064 Cert nurse midwife ss 00
G0065 Chiropractic ss 00
G0066 Clinical social work ss 00
G0067 Dentistry ss 00
G0068 Adm iv infusion drug in home 11
G0069 Adm sq infusion drug in home 11
G0070 Adm of chemo drug in home 11
G0076 Care manag h vst new pt 20 m 13
G0077 Care manag h vst new pt 30 m 13
G0078 Care manag h vst new pt 45 m 13
G0079 Care manag h vst new pt 60 m 13
G0080 Care manag h vst new pt 75 m 13
G0081 Care man h v ext pt 20 mi 13
G0082 Care man h v ext pt 30 m 13
G0083 Care man h v ext pt 45 m 13
G0084 Care man h v ext pt 60 m 13
G0085 Care man h v ext pt 75 m 13
G0086 Care man home care plan 30 m 13
G0087 Care man home care plan 60 m 13
G0088 Adm iv drug 1st home visit 11
G0089 Adm subq drug 1st home visit 11
G0090 Adm iv chemo 1st home visit 11
G0101 Ca screen;pelvic/breast exam 11
G0102 Prostate ca screening; dre 11
G0103 Psa screening 21
G0104 Ca screen;flexi sigmoidscope 11
G0105 Colorectal scrn; hi risk ind 11
G0108 Diab manage trn per indiv 11
G0109 Diab manage trn ind/group 11
G0117 Glaucoma scrn hgh risk direc 11
G0118 Glaucoma scrn hgh risk direc 11
G0121 Colon ca scrn not hi rsk ind 11
G0123 Screen cerv/vag thin layer 21
G0124 Screen c/v thin layer by md 11
G0127 Trim nail(s) 11
G0128 Corf skilled nursing service 99
G0129 Php/iop ot service 00
G0130 Single energy x-ray study 11
G0136 Adm of pa/n assess 5-15 m 13
G0137 Inten outpt svs,min 9 pr 7 d 13
G0138 Iv cipaglucosidase alfa-atga 13
G0140 Nav srv peer sup 60 min pr m 13
G0141 Scr c/v cyto,autosys and md 11
G0143 Scr c/v cyto,thinlayer,rescr 21
G0144 Scr c/v cyto,thinlayer,rescr 21
G0145 Scr c/v cyto,thinlayer,rescr 21
G0146 Nav srv peer sup add 30 pr m 13
G0147 Scr c/v cyto, automated sys 21
G0148 Scr c/v cyto, autosys, rescr 21
G0151 Hhcp-serv of pt,ea 15 min 00
G0152 Hhcp-serv of ot,ea 15 min 00
G0153 Hhcp-svs of s/l path,ea 15mn 00
G0155 Hhcp-svs of csw,ea 15 min 00
G0156 Hhcp-svs of aide,ea 15 min 00
G0157 Hhc pt assistant ea 15 00
G0158 Hhc ot assistant ea 15 00
G0159 Hhc pt maint ea 15 min 00
G0160 Hhc occup therapy ea 15 00
G0161 Hhc slp ea 15 min 00
G0162 Hhc rn e&m plan svs, 15 min 00
G0166 Extrnl counterpulse, per tx 11
G0168 Wound closure by adhesive 00
G0175 Opps service,sched team conf 00
G0176 Opps/php/iop; activity thrpy 00
G0177 Opps/php/iop; train & educ 00
G0179 Md recertification hha pt 11
G0180 Md certification hha patient 11
G0181 Home health care supervision 11
G0182 Hospice care supervision 11
G0183 Software meas of cardiac vol 13
G0186 Dstry eye lesn,fdr vssl tech 00
G0219 Pet img wholbod melano nonco 00
G0235 Pet not otherwise specified 00
G0237 Therapeutic procd strg endur 11
G0238 Oth resp proc, indiv 11
G0239 Oth resp proc, group 11
G0245 Initial foot exam pt lops 11
G0246 Followup eval of foot pt lop 11
G0247 Routine footcare pt w lops 11
G0248 Demonstrate use home inr mon 11
G0249 Provide inr test mater/equip 11
G0250 Md inr test revie inter mgmt 11
G0252 Pet imaging initial dx 00
G0255 Current percep threshold tst 00
G0257 Unsched dialysis esrd pt hos 00
G0259 Inject for sacroiliac joint 00
G0260 Inj for sacroiliac jt anesth 00
G0268 Removal of impacted wax md 11
G0269 Occlusive device in vein art 00
G0270 Mnt subs tx for change dx 11
G0271 Group mnt 2 or more 30 mins 11
G0276 Pild/placebo control clin tr 13
G0277 Hbot, full body chamber, 30m 13
G0278 Iliac art angio,cardiac cath 11
G0279 Tomosynthesis, mammo 13
G0281 Elec stim unattend for press 11
G0282 Elect stim wound care not pd 00
G0283 Elec stim other than wound 11
G0288 Recon, cta for surg plan 11
G0289 Arthro, loose body + chondro 11
G0293 Non-cov surg proc,clin trial 00
G0294 Non-cov proc, clinical trial 00
G0295 Electromagnetic therapy onc 00
G0296 Visit to determ ldct elig 13
G0299 Hhs/hospice of rn ea 15 min 00
G0300 Hhs/hospice of lpn ea 15 min 00
G0302 Pre-op service lvrs complete 00
G0303 Pre-op service lvrs 10-15dos 00
G0304 Pre-op service lvrs 1-9 dos 00
G0305 Post op service lvrs min 6 00
G0306 Cbc/diffwbc w/o platelet 21
G0307 Cbc without platelet 21
G0310 Immunize counsel 5-15 min 99
G0311 Immunize counsel 16-30 mins 99
G0312 Immunize couns < 21yr 5-15 m 99
G0313 Immunize couns < 21yr 6-30 m 99
G0314 Counsel immune <21 16-30 m 99
G0315 Counsel immune <21 5-15 m 99
G0316 Prolong inpt eval add15 m 11
G0317 Prolong nursin fac eval 15m 11
G0318 Prolong home eval add 15m 11
G0320 Two-way audio and video hhs 13
G0321 Audio-only hhs 13
G0322 Home h physio data collec tr 13
G0323 Care manage beh svs 20mins 13
G0327 Colon ca scrn;bld-bsd biomrk 21
G0328 Fecal blood scrn immunoassay 21
G0329 Electromagntic tx for ulcers 00
G0330 Facility svs dental rehab 53
G0333 Dispense fee initial 30 day 46
G0337 Hospice evaluation preelecti 11
G0339 Robot lin-radsurg com, first 13
G0340 Robt lin-radsurg fractx 2-5 13
G0341 Percutaneous islet celltrans 13
G0342 Laparoscopy islet cell trans 13
G0343 Laparotomy islet cell transp 13
G0372 Md service required for pmd 13
G0378 Hospital observation per hr 00
G0379 Direct refer hospital observ 00
G0380 Lev 1 hosp type b ed visit 00
G0381 Lev 2 hosp type b ed visit 00
G0382 Lev 3 hosp type b ed visit 00
G0383 Lev 4 hosp type b ed visit 00
G0384 Lev 5 hosp type b ed visit 00
G0390 Trauma respons w/hosp criti 00
G0396 Alcohol/subs interv 15-30mn 11
G0397 Alcohol/subs interv >30 min 11
G0398 Home sleep test/type 2 porta 13
G0399 Home sleep test/type 3 porta 13
G0400 Home sleep test/type 4 porta 13
G0402 Initial preventive exam 11
G0403 Ekg for initial prevent exam 11
G0404 Ekg tracing for initial prev 11
G0405 Ekg interpret & report preve 11
G0406 Inpt/tele follow up 15 13
G0407 Inpt/tele follow up 25 11
G0408 Inpt/tele follow up 35 11
G0409 Corf related serv 15 mins ea 13
G0410 Grp psych php/iop 45-50 13
G0411 Interactive grp psyc php/iop 13
G0412 Open tx iliac spine uni/bil 13
G0413 Pelvic ring fracture uni/bil 13
G0414 Pelvic ring fx treat int fix 13
G0415 Open tx post pelvic fxcture 13
G0416 Prostate biopsy, any mthd 13
G0420 Ed svc ckd ind per session 11
G0421 Ed svc ckd grp per session 11
G0422 Intens cardiac rehab w/exerc 11
G0423 Intens cardiac rehab no exer 11
G0425 Inpt/ed teleconsult30 13
G0426 Inpt/ed teleconsult50 13
G0427 Inpt/ed teleconsult70 13
G0428 Collagen meniscus implant 00
G0429 Dermal filler injection(s) 13
G0432 Eia hiv-1/hiv-2 screen 21
G0433 Elisa hiv-1/hiv-2 screen 21
G0435 Oral hiv-1/hiv-2 screen 21
G0438 Ppps, initial visit 11
G0439 Ppps, subseq visit 13
G0442 Annual alcohol screen 15 min 13
G0443 Brief alcohol misuse counsel 13
G0444 Depression screen annual 13
G0445 High inten beh couns std 30m 13
G0446 Intens behave ther cardio dx 13
G0447 Behavior counsel obesity 15m 13
G0448 Place perm pacing cardiovert 13
G0451 Devlopment test interpt&rep 13
G0452 Molecular pathology interpr 13
G0453 Cont intraop neuro monitor 13
G0454 Md document visit by npp 13
G0455 Fecal microbiota prep instil 13
G0458 Ldr prostate brachy comp rat 00
G0459 Telehealth inpt pharm mgmt 13
G0460 Autolog prp not diab ulcer 13
G0463 Hospital outpt clinic visit 00
G0465 Autolog prp diab wound ulcer 13
G0466 Fqhc visit new patient 13
G0467 Fqhc visit, estab pt 13
G0468 Fqhc visit, ippe or awv 13
G0469 Fqhc visit, mh new pt 13
G0470 Fqhc visit, mh estab pt 13
G0471 Ven blood coll snf/hha 21
G0472 Hep c screen high risk/other 13
G0473 Group behave couns 2-10 13
G0475 Hiv combination assay 13
G0476 Hpv combo assay ca screen 13
G0480 Drug test def 1-7 classes 21
G0481 Drug test def 8-14 classes 21
G0482 Drug test def 15-21 classes 21
G0483 Drug test def 22+ classes 21
G0490 Home visit rn, lpn by rhc/fq 13
G0491 Dialysis acu kidney no esrd 13
G0492 Md/oth eval acut kid no esrd 13
G0493 Rn care ea 15 min hh/hospice 00
G0494 Lpn care ea 15min hh/hospice 00
G0495 Rn care train/edu in hh 00
G0496 Lpn care train/edu in hh 00
G0498 Chemo extend iv infus w/pump 13
G0499 Hepb screen high risk indiv 13
G0500 Mod sedat endo service >5yrs 13
G0501 Resource-inten svc during ov 13
G0506 Comp asses care plan ccm svc 13
G0508 Crit care telehea consult 60 13
G0509 Crit care telehea consult 50 13
G0513 Prolong prev svcs, first 30m 13
G0514 Prolong prev svcs, addl 30m 13
G0516 Insert drug del implant, >=4 13
G0517 Remove drug implant 13
G0518 Remove w insert drug implant 13
G0519 New pt-cg dyad dem low cmplx 13
G0520 New pt-cg dyad dem mod cmplx 13
G0521 New pt-cg dyad dem hig cmplx 13
G0522 Mgt nw pt dementia low cmplx 13
G0523 Mgt nw pt dem mod-high cmplx 13
G0524 Est pt-cg dyad dem low cmplx 13
G0525 Est pt-cg dyad dem mod cmplx 13
G0526 Est pt-cg dyad dem hig cmplx 13
G0527 Mgt est pt dmentia low cmplx 13
G0528 Mgt est pt dem mod-hi cmplx 13
G0529 In home respite care, 4 hr u 13
G0530 Adult daycare center, 8 hr u 13
G0531 Fclty-based respite, 24 hr u 13
G0532 Take home supp nasal spray 11
G0533 Buprenorphone inj weekly 13
G0534 Coordinated care/or referral 13
G0535 Pt navigat svs direct/ref 13
G0536 Peer recover support svs 13
G0537 Risk ascvd tst once pr 12 mo 13
G0538 Ascvd rsk mng clin stf pr mo 13
G0539 Initial care training 30 m 13
G0540 Train for caregiver add 15 13
G0541 No pt prsnt train initial 30 13
G0542 No pt prsnt train add 15 13
G0543 Group train w/o patient 13
G0544 Post d/c phone follow up 13
G0545 Inherent visit to inpt 13
G0546 Phone/internet ehr assess 13
G0547 Phone/internet svs 11-20 m 13
G0548 Phone/inter svs 21-30 m 13
G0549 Phone/inter for treat>31m 13
G0550 Phone/inter for dx/treat >5m 13
G0551 Phn/intr svs fr dx treat 30m 13
G0552 Supply of digital device 13
G0553 Monthly tx for dmht 20mins 13
G0554 Add 20 m of monthly tx 13
G0555 Replacment pt electronic sys 13
G0556 Adv prim care mgmt lvl 1 13
G0557 Adv prim care mgmt lvl 2 13
G0558 Adv prim care mgmt lvl 3 13
G0559 Unrelat prac follow up visit 13
G0560 Safety plan interven 13
G0561 Temp tube delivery, unil 13
G0562 Complex simulation w/pet-ct 13
G0563 Sbrt w/positron emission del 13
G0566 3d bn img algor drvd fr mri 13
G0567 Screening hep c detect 13
G0568 Int psych care mng, 1 cal mo 13
G0569 Subs psych care mng, subs mo 13
G0570 Care manage serv, pr cal mo 13
G0571 Intraop nerve cryoablation 11
G0574 Mgt new pt dem res care cmmi 13
G0575 Mgt est pt dem res care cmmi 13
G0577 Vasc emb/occl organ, pgc 13
G0659 Drug test def simple all cl 21
G0660 Team remote e/m new pt 10 mn 00
G0661 Team remote e/m new pt 20 mn 00
G0662 Team remote e/m new pt 30 mn 00
G0663 Team remote e/m new pt 45 mn 00
G0664 Team remote e/m new pt 60 mn 00
G0665 Team remote e/m est pt 10 mn 00
G0666 Team remote e/m est pt 15 mn 00
G0667 Team remote e/m est pt 25 mn 00
G0668 Team remote e/m est pt 40 mn 00
G0669 Eckm oap-initial period 00
G0670 Eckm oap-follow-on period(s) 00
G0671 Ckm oap-initial period 00
G0672 Ckm oap-follow-on period(s) 00
G0673 Msk oap-initial period 00
G0674 Bh oap-initial period 00
G0675 Bh oap-follow-on period(s) 00
G0676 Std co-mgmt-eckm, ckm 00
G0677 Std co-mgmt-msk 00
G0678 Std co-mgmt-bh 00
G0680 Cr art clc art vlv clc w rpt 13
G0681 App of non-sheet skin sub 13
G0682 App non-sheet skin sub add 13
G0683 App of non-sheet skin sub g 13
G0684 App non-sheet skin sb g addl 13
G0685 Algorithm assessment for asd 13
G0913 Improve visual funct 00
G0914 Survey not complete 00
G0915 No improve visual funct 00
G0916 Satisfy with care 00
G0917 Care survey not complete 00
G0918 No satisfy with care 00
G1025 Pt mnth 1 mcp prov 00
G1026 Pt hemo > 3mo 00
G1027 Pt hemo < 3mo 00
G1028 Take home supply 8mg per 0.1 11
G2000 Blinded conv. tx mdd clin tr 00
G2001 Post d/c h vst new pt 20 m 13
G2002 Post-d/c h vst new pt 30 m 13
G2003 Post-d/c h vst new pt 45 m 13
G2004 Post-d/c h vst new pt 60 m 13
G2005 Post-d/c h vst new pt 75 m 13
G2006 Post-d/c h vst ext pt 20 m 13
G2007 Post-d/c h vst ext pt 30 m 13
G2008 Post-d/c h vst ext pt 45 m 13
G2009 Post-d/c h vst ext pt 60 m 13
G2010 Remot image submit by pt 13
G2011 Alcohol/sub misuse assess 13
G2013 Post-d/c h vst ext pt 75 m 13
G2014 Post-d/c care plan overs 30m 13
G2015 Post-d/c care plan overs 60m 13
G2020 Hi inten serv for sip model 00
G2021 Hea care pract tx in place 00
G2022 Benef refuses service, mod 00
G2025 Dis site tele svcs rhc/fqhc 13
G2067 Med assist tx meth wk 13
G2068 Med assist tx bupre oral 13
G2069 Med assist tx inject 13
G2073 Med tx naltrexone 13
G2074 Med assist tx no drug 13
G2075 Med tx meds nos 13
G2076 Intake act w/med exam 13
G2077 Periodic assessment 13
G2078 Take-home meth 13
G2079 Take-hom buprenorphine 13
G2080 Add 30 mins counsel 13
G2081 Pt 66+ snp or ltc pos > 90d 00
G2082 Visit esketamine 56m or less 13
G2083 Visit esketamine, > 56m 13
G2086 Off base opioid tx 70min 13
G2087 Off base opioid tx, 60 m 13
G2088 Off base opioid tx, add30 13
G2090 Pt 66+ frailty and med dem 00
G2091 Pt 66+ frailty and adv ill 00
G2092 Ace arb arni 00
G2093 Med doc rsn no ace arn arni 00
G2094 Pt rsn no ace arn arni 00
G2096 No rsn ace arb arni 00
G2097 Dx uri 3d after other dx 00
G2098 Pt 66+ frailty and med dem 00
G2099 Pt 66+ frailty and adv ill 00
G2100 Pt 66+ frailty and med dem 00
G2101 Pt 66+ frailty and adv ill 00
G2105 Pt 66+ snp or ltc pos > 90d 00
G2106 Pt 66+ frailty and med dem 00
G2107 Pt 66+ frailty and adv ill 00
G2112 Pred<=5 mg ra glu <6m 00
G2113 Pred>5 mg >6m, no chg da 00
G2115 Pt 66-80 frailty and med dem 00
G2116 Pt 66-80 frailty and adv ill 00
G2118 Pt 81+ frailty 00
G2121 Psy dep anx ap and icd asse 00
G2122 Psy/dep/anx/apandicd noasse 00
G2125 Pt 81+ frailty 00
G2126 Pt 66-80 frailty and adv ill 00
G2127 Pt 66-80 frailty and med dem 00
G2128 No aspirin med rsn 00
G2129 No bp outpt 00
G2136 Bk pain vas 6-20wk <= 3 00
G2137 Bk pain vas 6-20wk > 3 00
G2138 Bk pain vas 9-15mo <= 3 00
G2139 Bk pain vas 9-15mo > 3 00
G2140 Leg pain vas 6-20wk <= 3 00
G2141 Leg pain vas 6-20wk > 3 00
G2142 Fs odi 9-15mo postop<= 22 00
G2143 Fs odi 9-15mo > 22 00
G2144 Fs odi 6-20wk postop <= 22 00
G2145 Fsodi 6-20wk >22 or chg 30pt 00
G2146 Leg pain vas 9-15mo <= 3 00
G2147 Leg pain vas 9-15mo > 3 00
G2148 Mpm used 00
G2149 No mpm med rsn 00
G2150 No mpm 00
G2151 Dx degen neuro 00
G2152 Res change sc >=0 00
G2167 Res change sc < 0 00
G2168 Svs by pt in home health 00
G2169 Svs by ot in home health 00
G2172 Tx for opioid use demo proj 00
G2173 Uri w comorb 12m oth dx 00
G2174 Uri new rx antibiotic 30d 00
G2175 Pt comorb dx 12m of epi 00
G2176 Outpt ed obs w inpt admit 00
G2177 Bronch w rx antibx 30d 00
G2178 Pt not elig low neuro ex 00
G2179 Med doc rsn no low ex 00
G2180 Inelig footwr eval 00
G2181 Bmi not doc medrsn ptref 00
G2182 Pt 1st biolog antirheum 00
G2183 Doc pt unable comm 00
G2184 No caregiver 00
G2185 Caregiver dem trained 00
G2186 Pt ref app rsrcs 00
G2187 Clin ind img hd trauma 00
G2188 Pt 50 yrs w/clin ind hd 00
G2189 Img hd abnml neuro exam 00
G2190 Ind img hd rad neck 00
G2191 Ind img hd pos hd ache 00
G2192 >55 yrs temp hd ache 00
G2193 <6yr new onset hd ache 00
G2194 New hdache ped pt dis 00
G2195 Occip hdache child 00
G2196 Screen unhlthy etoh use 00
G2197 Screen hlthy etoh use 00
G2199 Not scrn etoh no rsn 00
G2200 Unhlthy etoh rcvd couns 00
G2202 No rsn no brief couns 00
G2204 Pt 45-85 w/ scope 00
G2205 Preg drng adjv trtmt 00
G2206 Adjv trtmt chemo her2 00
G2207 Rsn no trtmt chem her2 00
G2208 No trtmt chemo and her2 00
G2209 Refused to participate 00
G2210 No neck fs prom no rsn 00
G2211 Complex e/m visit add on 00
G2212 Prolong outpt/office vis 11
G2213 Initiat med assist tx in er 11
G2214 Init/sub psych care m 1st 30 11
G2215 Home supply nasal naloxone 11
G2216 Home supply inject naloxon 11
G2250 Remot img sub by pt, non e/m 13
G2251 Brief chkin, 5-10, non-e/m 13
G2252 Brief chkin by md/qhp, 11-20 13
G3002 Chronic pain mgmt 30 mins 11
G3003 Chronic pain mgmt addl 15m 11
G4000 Dermatology ss 00
G4001 Diagnostic rad ss 00
G4002 Ep cardio ss 00
G4003 Emergency med ss 00
G4004 Endocrinology ss 00
G4005 Family medicine ss 00
G4006 Gastroenterology ss 00
G4007 General surgery ss 00
G4008 Geriatrics ss 00
G4009 Hospitalists ss 00
G4010 Infectious disease ss 00
G4011 Internal medicine ss 00
G4012 Interventional rad ss 00
G4013 Mntal/behav/psych hlth ss 00
G4014 Nephrology ss 00
G4015 Neurology ss 00
G4016 Neurosurgical ss 00
G4017 Nutrition/dietician ss 00
G4018 Ob/gyn ss 00
G4019 Oncology/hema ss 00
G4020 Ophthalmology/optometry ss 00
G4021 Orthopedic surgery ss 00
G4022 Otolaryngology ss 00
G4023 Pathology ss 00
G4024 Pediatrics ss 00
G4025 Physical medicine ss 00
G4026 Phys/occ therapy ss 00
G4027 Plastic surgery ss 00
G4028 Podiatry ss 00
G4029 Preventive medicine ss 00
G4030 Pulmonology ss 00
G4031 Radiation oncology ss 00
G4032 Rheumatology ss 00
G4033 Skilled nursing facility ss 00
G4034 Speech language path ss 00
G4035 Thoracic surgery ss 00
G4036 Urgent care ss 00
G4037 Urology ss 00
G4038 Vascular surgery ss 00
G8395 Lvef>=40% doc normal or mild 00
G8396 Lvef not performed 00
G8397 Dil macula/fundus exam/w doc 00
G8399 Pt w/dxa results document 00
G8400 Pt w/dxa no results doc 00
G8404 Low extemity neur exam docum 00
G8405 Low extemity neur not perfor 00
G8410 Eval on foot documented 00
G8415 Eval on foot not performed 00
G8416 Pt inelig footwear evaluatio 00
G8417 Calc bmi abv up param f/u 00
G8418 Calc bmi blw low param f/u 00
G8419 Calc bmi out nrm param nof/u 00
G8420 Calc bmi norm parameters 00
G8421 Bmi not calculated 00
G8427 Docrev cur meds by elig clin 00
G8428 Cur meds not document 00
G8430 Doc med rsn no medrec 00
G8431 Pos clin depres scrn f/u doc 00
G8432 Dep scr not doc, rng 00
G8433 Scr for dep not cpt doc rsn 00
G8450 Beta-bloc rx pt w/abn lvef 00
G8451 Pt w/abn lvef inelig b-bloc 00
G8452 Pt w/abn lvef b-bloc no rx 00
G8465 High risk recurrence pro ca 00
G8473 Ace/arb thxpy rx'd 00
G8474 Ace/arb not rx'd; doc reas 00
G8475 Ace/arb thxpy not rx'd 00
G8476 Bp sys <140 and dias <90 00
G8477 Bp sys>=140 and/or dias >=90 00
G8478 Bp not performed/doc 00
G8510 Scr dep neg, no plan reqd 00
G8511 Scr dep pos, no plan doc rng 00
G8535 Eld maltreatment not doc 00
G8536 No doc elder mal scrn 00
G8539 Doc funct and care plan 00
G8540 Foa not doc as being perf 00
G8541 No doc cur funct assess 00
G8542 Doc funct no deficiencies 00
G8543 Cur funct asses; no care pln 00
G8559 Pt ref doc oto eval 00
G8560 Pt hx act drain prev 90 days 00
G8561 Pt inelig for ref oto eval 00
G8562 Pt no hx act drain 90 d 00
G8563 Pt no ref oto reas no spec 00
G8564 Pt ref oto eval 00
G8565 Ver doc hear loss 00
G8566 Pt inelig ref oto eval 00
G8567 Pt no doc hear loss 00
G8568 Pt no ref otolo no spec 00
G8569 Prol intubation req 00
G8570 No prol intub req 00
G8575 Postop ren fail 00
G8576 No postop ren fail 00
G8577 Reop req bld grft oth 00
G8578 No reop req bld grft oth 00
G8598 Asa/antiplat ther used 00
G8599 No asa/antiplat ther use rng 00
G8600 Tpa initi w/in 4.5 hr 00
G8601 No elig tpa init w/in 4.5 hr 00
G8602 No tpa init w/in 4.5 hr 00
G8633 Pharm ther osteo rx 00
G8635 No pharm ther osteo rx 00
G8647 Rafscrs ki scor >= 0 00
G8648 Rafscrs ki scor < 0 00
G8650 Rafs crs ki no scor no rsn 00
G8651 Rafscrs hi scor >=0 00
G8652 Rafscrs hi scor < 0 00
G8654 Rafs crs hi no scor no surv 00
G8655 Rafscrs llfai scor >= 0 00
G8656 Rafscrs llfai scor < 0 00
G8658 Rafscrs llfai no scor + surv 00
G8659 Rafscrs lbi scor >= 0 00
G8660 Rafscrs lbi scor < 0 00
G8661 Rafscrs lbi no scor 00
G8662 Rafs crs lbi no scor no surv 00
G8663 Rafscrs si scor >= 0 00
G8664 Rafscrs si scor < 0 00
G8666 Rafs crs si no scor no surv 00
G8667 Rafscrs ewh scor >= 0 00
G8668 Rafscrs ewh scor < 0 00
G8670 Rafs crs ewh no scor no surv 00
G8694 Lvef <=40% 00
G8708 Antibiotic not pres 00
G8709 Uri ep compete diag 00
G8710 Pt pres antibiotic 00
G8711 Pres antibx on/within 3 day 00
G8712 Not pres antibiotic 00
G8721 Pt, pn, hist grade doc 00
G8722 Med reas pt, pn, not doc 00
G8723 Spec sit not prim tumor 00
G8724 Pt, pn, hist grade not doc 00
G8733 Doc pos elder mal scrn plan 00
G8734 Doc neg eld req 00
G8735 Eld mal scrn pos no plan 00
G8749 No signs melanoma 00
G8752 Sys bp less 140 00
G8753 Sys bp > or = 140 00
G8754 Dias bp less 90 00
G8755 Dias bp > or = 90 00
G8756 No bp measure doc 00
G8783 Bp scrn perf rec interval 00
G8785 Bp scrn no perf at interval 00
G8797 Specimen site not esophagus 00
G8798 Specimen site not prostate 00
G8806 Perf ultrsnd to lct preg doc 00
G8807 No ta tv ultrasnd 00
G8808 Ultrasound not perf, rng 00
G8815 Doc reas no statin therapy 00
G8816 Statin med pres at disch 00
G8817 Doc reas no statin med disch 00
G8826 Pt disch home day #2 evar 00
G8833 Pt not disch home day#2 evar 00
G8834 Pt disch home day #2 cea 00
G8838 Not disch home by day #2 00
G8839 Sleep apnea assess 00
G8840 Doc reas no sleep apnea 00
G8841 No sleep apnea assess 00
G8842 Ahi rdi rei doc win 2mo 00
G8843 Doc reas no ahi rdi rei 00
G8844 No ahi rdi rei ini dx no rsn 00
G8845 Pos airway press prescribed 00
G8846 Mod or severe osa 00
G8849 Doc reas no pos air press 00
G8850 No pap prescribed 00
G8851 Adhere tx assess at lst ann 00
G8854 Reas no adhere therapy 00
G8855 Ther not assessed annually 00
G8856 Ref for oto eval 00
G8857 No elig ref for oto eval 00
G8858 Not ref for oto eval 00
G8863 No assess bone loss 00
G8864 Pneumococcal vaccine admin 00
G8865 Doc med reas no pneumococcal 00
G8866 Doc pt reas no pneumococcal 00
G8867 No pneumococcal admin 00
G8869 Doc immune hep b antitnf 00
G8875 Breast cancer dx min invsive 00
G8876 Doc reas no min inv dx 00
G8877 No brst cncr dx min invasive 00
G8878 Sent lymph node biopsy 00
G8880 Sen lym p node biop not perf 00
G8881 Brst cncr stage > t1n0m0 00
G8882 No sent lymph node biopsy 00
G8907 Pt doc no events on discharg 00
G8908 Pt doc w burn prior to d/c 00
G8909 Pt doc no burn prior to d/c 00
G8910 Pt doc to have fall in asc 00
G8911 Pt doc no fall in asc 00
G8912 Pt doc with wrong event 00
G8913 Pt doc no wrong event 00
G8914 Pt trans to hosp post d/c 00
G8915 Pt not trans to hosp at d/c 00
G8916 Pt w iv ab given on time 00
G8917 Pt w iv ab not given on time 00
G8918 Pt w/o preop order iv ab pro 00
G8923 Lvef <= 40% or lvsd 00
G8924 Spir res doc fev1/fvc<70% 00
G8934 Lvef <=40% or dep lv sys fcn 00
G8935 Rx ace or arb therapy 00
G8936 Pt not eligible ace/arb 00
G8937 No rx ace/arb therapy 00
G8942 Doc fcn/care plan w/30 days 00
G8944 Ajcc mel cnr stg 0 - iic 00
G8946 Mibm but no dx of breast ca 00
G8950 Pre-htn or htn doc, f/u indc 00
G8952 Pre-htn/htn, no f/u, not gvn 00
G8955 Most recent assess vol mgmt 00
G8956 Pt rcv hedia outpt dyls fac 00
G8958 Assess vol mgmt not doc 00
G8961 Csit lowrisk surg pts preop 00
G8962 Csit on pt any reas 30 days 00
G8967 Warf or other fda drug presc 00
G8968 Doc med not presb 00
G8969 Doc pt rsn no presc warf/fda 00
G8970 No rsk fac or 1 mod risk te 00
G9001 Mccd, initial rate 00
G9002 Mccd,maintenance rate 00
G9003 Mccd, risk adj hi, initial 00
G9004 Mccd, risk adj lo, initial 00
G9005 Mccd, risk adj, maintenance 00
G9006 Mccd, home monitoring 00
G9007 Mccd, sch team conf 00
G9008 Mccd,phys coor-care ovrsght 00
G9009 Mccd, risk adj, level 3 00
G9010 Mccd, risk adj, level 4 00
G9011 Mccd, risk adj, level 5 00
G9012 Other specified case mgmt 00
G9013 Esrd demo bundle level i 00
G9014 Esrd demo bundle-level ii 00
G9016 Demo-smoking cessation coun 00
G9050 Oncology work-up evaluation 00
G9051 Oncology tx decision-mgmt 00
G9052 Onc surveillance for disease 00
G9053 Onc expectant management pt 00
G9054 Onc supervision palliative 00
G9055 Onc visit unspecified nos 00
G9056 Onc prac mgmt adheres guide 00
G9057 Onc pract mgmt differs trial 00
G9058 Onc prac mgmt disagree w/gui 00
G9059 Onc prac mgmt pt opt alterna 00
G9060 Onc prac mgmt dif pt comorb 00
G9061 Onc prac cond noadd by guide 00
G9062 Onc prac guide differs nos 00
G9063 Onc dx nsclc stgi no progres 00
G9064 Onc dx nsclc stg2 no progres 00
G9065 Onc dx nsclc stg3a no progre 00
G9066 Onc dx nsclc stg3b-4 metasta 00
G9067 Onc dx nsclc dx unknown nos 00
G9068 Onc dx sclc/nsclc limited 00
G9069 Onc dx sclc/nsclc ext at dx 00
G9070 Onc dx sclc/nsclc ext unknwn 00
G9071 Onc dx brst stg1-2b hr,nopro 00
G9072 Onc dx brst stg1-2 noprogres 00
G9073 Onc dx brst stg3-hr, no pro 00
G9074 Onc dx brst stg3-noprogress 00
G9075 Onc dx brst metastic/ recur 00
G9077 Onc dx prostate t1no progres 00
G9078 Onc dx prostate t2no progres 00
G9079 Onc dx prostate t3b-t4noprog 00
G9080 Onc dx prostate w/rise psa 00
G9083 Onc dx prostate unknwn nos 00
G9084 Onc dx colon t1-3,n1-2,no pr 00
G9085 Onc dx colon t4, n0 w/o prog 00
G9086 Onc dx colon t1-4 no dx prog 00
G9087 Onc dx colon metas evid dx 00
G9088 Onc dx colon metas noevid dx 00
G9089 Onc dx colon extent unknown 00
G9090 Onc dx rectal t1-2 no progr 00
G9091 Onc dx rectal t3 n0 no prog 00
G9092 Onc dx rectal t1-3,n1-2noprg 00
G9093 Onc dx rectal t4,n,m0 no prg 00
G9094 Onc dx rectal m1 w/mets prog 00
G9095 Onc dx rectal extent unknwn 00
G9096 Onc dx esophag t1-t3 noprog 00
G9097 Onc dx esophageal t4 no prog 00
G9098 Onc dx esophageal mets recur 00
G9099 Onc dx esophageal unknown 00
G9100 Onc dx gastric no recurrence 00
G9101 Onc dx gastric p r1-r2noprog 00
G9102 Onc dx gastric unresectable 00
G9103 Onc dx gastric recurrent 00
G9104 Onc dx gastric unknown nos 00
G9105 Onc dx pancreatc p r0 res no 00
G9106 Onc dx pancreatc p r1/r2 no 00
G9107 Onc dx pancreatic unresectab 00
G9108 Onc dx pancreatic unknwn nos 00
G9109 Onc dx head/neck t1-t2no prg 00
G9110 Onc dx head/neck t3-4 noprog 00
G9111 Onc dx head/neck m1 mets rec 00
G9112 Onc dx head/neck ext unknown 00
G9113 Onc dx ovarian stg1a-b no pr 00
G9114 Onc dx ovarian stg1a-b or 2 00
G9115 Onc dx ovarian stg3/4 noprog 00
G9116 Onc dx ovarian recurrence 00
G9117 Onc dx ovarian unknown nos 00
G9123 Onc dx cml chronic phase 00
G9124 Onc dx cml acceler phase 00
G9125 Onc dx cml blast phase 00
G9126 Onc dx cml remission 00
G9128 Onc dx multi myeloma stage i 00
G9129 Onc dx mult myeloma stg2 hig 00
G9130 Onc dx multi myeloma unknown 00
G9131 Onc dx brst unknown nos 00
G9132 Onc dx prostate mets no cast 00
G9133 Onc dx prostate clinical met 00
G9134 Onc nhlstg 1-2 no relap no 00
G9135 Onc dx nhl stg 3-4 not relap 00
G9136 Onc dx nhl trans to lg bcell 00
G9137 Onc dx nhl relapse/refractor 00
G9138 Onc dx nhl stg unknown 00
G9139 Onc dx cml dx status unknown 00
G9140 Frontier extended stay demo 00
G9143 Warfarin respon genetic test 13
G9147 Outpt iv insulin tx any mea 00
G9148 Medical home level 1 00
G9149 Medical home level ii 00
G9150 Medical home level iii 00
G9151 Mapcp demo state 00
G9152 Mapcp demo community 00
G9153 Mapcp demo physician 00
G9156 Evaluation for wheelchair 00
G9157 Transesoph doppl cardiac mon 00
G9187 Bpci home visit 13
G9188 Beta not given no reason 00
G9189 Beta pres or already taking 00
G9190 Medical reason for no beta 00
G9191 Pt reason for no beta 00
G9212 Doc of dsm-iv init eval 00
G9213 No doc of dsm-iv 00
G9223 Pjp proph ordered cd4 low 00
G9225 Norsn no foot exam 00
G9226 3 comp foot exam completed 00
G9227 Foa doc, care plan not doc 00
G9228 Gc chl syp documented 00
G9230 Norsn for gc chl syp test 00
G9231 Doc esrd dia trans preg 00
G9242 Doc viral load >=200 00
G9243 Doc viral load <200 00
G9246 No enc or enc/vir ld 90days 00
G9247 2 enc enc/vir ld 90d 00
G9254 Doc pt dischg >2d 00
G9255 Pt dc home 2nd po day 00
G9273 Sys<140 and dia<90 00
G9274 Bp out of nrml limits 00
G9275 Doc of non tobacco user 00
G9276 Doc of tobacco user 00
G9277 Doc daily aspirin or contra 00
G9278 Doc no daily aspirin 00
G9279 Pne scrn done doc vac done 00
G9280 Pne not given norsn 00
G9281 Pne scrn done doc not ind 00
G9282 Doc medrsn no histo type 00
G9283 Hist type doc on report 00
G9284 No hist type doc on report 00
G9285 Site not small cell lung ca 00
G9286 Antibio rx w in 10d of sympt 00
G9287 No antibio w in 10d of sympt 00
G9288 Doc medrsn no hist type rpt 00
G9289 Doc type nsm lung ca 00
G9290 No doc type nsm lung ca 00
G9291 Not nsm lung ca 00
G9292 Medrsn no pt category 00
G9293 No pt category on report 00
G9294 Pt cat and thck on report 00
G9295 Non cutaneous loc 00
G9296 Doc share dec prior proc 00
G9297 No doc share dec prior proc 00
G9298 Eval risk vte card 30d prior 00
G9299 No eval risk vte card prior 00
G9305 No interv req for leak 00
G9306 Interv req for leak 00
G9307 No ret for surg w in 30d 00
G9308 Unpl ret or w/compl w/in 30d 00
G9309 No unplnd hosp readm in 30d 00
G9310 Unplnd hosp readm in 30d 00
G9311 No surg site infection 00
G9312 Surgical site infection 00
G9313 Amoxic not presc as 1st line 00
G9314 Norsn not first line amox 00
G9315 Amox w/wo clav rx 00
G9316 Doc comm risk calc 00
G9317 No doc comm risk calc 00
G9318 Image std nomenclature 00
G9319 Image not std nomenclature 00
G9321 Prev ct nuc med cnt doc 12mo 00
G9322 No cnt ct nuc med doc 12mo 00
G9341 Srch for ct w in 12 mos 00
G9342 No srch for ct in 12mo norsn 00
G9344 Sysrsn no dicom srch 00
G9345 Follow up pulm nod 00
G9347 No follow up pulm nod norsn 00
G9351 Doc >1 sinus ct w 90d dx 00
G9352 Not >1 sinus ct w 90d dx 00
G9353 Medrsn >1 sinus ct w 90d dx 00
G9354 1 or no ct sinus w/in 90d dx 00
G9355 No early ind/delivery 00
G9356 Early ind/delivery 00
G9357 Pp eval/edu perf 00
G9358 Pp eval/edu not perf 00
G9361 Doc rsn elect c-sec/induct 00
G9364 Sinus caus bac inx 00
G9367 >= 2 same hi-rsk med ord 00
G9368 >= 2 same hi-rsk med not ord 00
G9380 Off assis eol iss 00
G9382 No off assis eol 00
G9383 Recd scrn hcv infec 00
G9384 Doc med rsn no hcv scrn 00
G9385 Doc pt reas not rec hcv srn 00
G9386 Scrn hcv infec not recd 00
G9393 Ini phq9 >9 remiss <5 00
G9394 Dx bipol, death, nhres, hosp 00
G9395 Ini phq9 >9 no remiss >=5 00
G9396 Ini phq9 >9 not assess 00
G9408 Card tamp w/in 30d 00
G9409 No card tamp e/in 30d 00
G9410 Admit w/in 180d req remov 00
G9411 No admit w/in 180d req remov 00
G9412 Admit w/in 180d req surg rev 00
G9413 No admit req surg rev 00
G9414 1dose menig vac btwn 10 & 13 00
G9415 No 1dose meni vac btwn 10&13 00
G9416 Pt 1 tdap betw 10-13 yrs 00
G9417 Pt not 1 tdap betw 10-13 yrs 00
G9418 Lungcx bx rpt docs class 00
G9419 Med reas not incl histo type 00
G9420 Spec site no lung 00
G9421 Lung cx bx rpt no doc class 00
G9422 Rpt doc class histo type 00
G9423 Med reas rpt no histo type 00
G9424 Site no lung or lung cx 00
G9425 Spec rpt no doc class histo 00
G9426 Impr med time edarr pain med 00
G9427 No impro med time pain med 00
G9428 Patho rpt incl pt ctg 00
G9429 Doc med rsn no pt cat 00
G9430 Spec site no cutaneous 00
G9431 Patho rpt no pt ctg 00
G9432 Asth controlled 00
G9434 Asth not controlled 00
G9452 Doc med reas no hcv test 00
G9455 Abd imag w/us, ct or mri 00
G9456 Doc med pt reas no hcc scrn 00
G9457 Pt no abd img no doc rsn 00
G9468 No recd cortico>=10mg/d >60d 00
G9470 No rec cortico>60d 1rx 600mg 00
G9471 W/in 2yr dxa not order 00
G9473 Chap services at hospice 00
G9474 Diet counsel at hospice 00
G9475 Other counselor at hospice 00
G9476 Volun service at hospice 00
G9477 Care coord at hospice 00
G9478 Othe therapist at hospice 00
G9479 Pharmacist at hospice 00
G9480 Admission to mccm 00
G9481 Remote e/m new pt 10mins 00
G9482 Remote e/m new pt 20mins 00
G9483 Remote e/m new pt 30mins 00
G9484 Remote e/m new pt 45mins 00
G9485 Remote e/m new pt 60mins 00
G9486 Remote e/m est. pt 10mins 00
G9487 Remote e/m est. pt 15mins 00
G9488 Remote e/m est. pt 25mins 00
G9489 Remote e/m est. pt 40mins 00
G9490 Cmmi mod home visit 00
G9497 Rec inst no smoke day surg 00
G9498 Abx reg prescribed 00
G9500 Rad expos ind/exp tm doc 00
G9501 Rad expos ind/exp tm no doc 00
G9502 Med reas no perf foot exam 00
G9504 Doc rsn hep b stat not asses 00
G9505 Abx pres w/in 10 dys of symp 00
G9507 Doc reas on statin or contra 00
G9508 Doc pt not on statin 00
G9509 Adit mdd dys rem 12 mnths 00
G9510 Remis12m not phq-9 score <5 00
G9511 Idx evt dte phq>9 doc 12 mo 00
G9512 Indiv pdc > 0.8 00
G9513 Indiv pdc not > 0.8 00
G9514 Req ret or w/in 90d of surg 00
G9515 No reas, no ret or w/in 90d 00
G9516 Impr vis acuit w/in 90d 00
G9517 No impr vis acuit w/in 90d 00
G9518 Doc active inj drug use 00
G9519 Final ref +/- 1.0 w/in 90d 00
G9520 Refract not +/- 1.0 w/in 90d 00
G9521 Er and ip hosp <2 in 12 mos 00
G9522 Er/ip hosp =/>2 in 12 mos 00
G9529 Minor blunt trauma w/head ct 00
G9530 Pt mbht hd ct ord ec prov 00
G9531 Pt doc 00
G9533 Indic for head ct not valid 00
G9537 Img hd clin trial 00
G9539 Intent pot remv time placemt 00
G9540 Pt alive 3 mos post proc 00
G9541 Filter rem 3 mon plmt 00
G9542 Doc reass appr remo filt 3ms 00
G9543 Doc 2x re-assess filt remov 00
G9544 No filt remov w/in 3mos plcm 00
G9547 Cys ren les or adren 00
G9548 No f/u rec image study 00
G9549 Doc med rsn for f/u imag 00
G9550 Imag rec 00
G9551 Imag no les 00
G9552 Inc thyr node <1.0 in rpt 00
G9553 Prior thyroid dise dx 00
G9554 Ct/cta/mri/a chst foll rec 00
G9555 Doc med rsn for follup image 00
G9556 Ct/cta/mri/a no follup imag 00
G9557 Ct/cta/mri/a no thyr <1.0cm 00
G9580 Door to punc time <2hrs 00
G9582 Door to punc time >2hr, nrg 00
G9593 Low pecarn ped head trauma 00
G9594 Pt mbht hd ct ord ec prov 00
G9595 Doc shnt/tum/coag 00
G9597 No low pecarn ped head traum 00
G9598 Aor ane 5.5-5.9 cm max diam 00
G9599 Aor ane >=6.0 cm max diam 00
G9603 Pt surv improv bsline tx 00
G9605 Surv score no improv w/tx 00
G9606 Intraop cyst eval trac inj 00
G9607 Doc med rsn not perf cystosc 00
G9608 Intraop cyst eval not done 00
G9609 Doc order anti-plat 00
G9610 Doc md rsn no antipla 00
G9611 No doc order anti-plat rng 00
G9621 Scr unheal etoh w/counsel 00
G9622 No unheal etoh user 00
G9624 Pt not scrn or no counseling 00
G9625 Pt bl srg 30 day pst srg 00
G9626 Med rsn no rpt bladder inj 00
G9627 Pt no bl srg 30 day pst srg 00
G9628 Pt bwli srg 30 day pst srg 00
G9629 Med rsn no rpt bowel inj 00
G9630 Pt no bwli srg 30 day srg 00
G9637 Doc >1 dose reduc tech 00
G9638 No doc >1 dose reduc tech 00
G9642 Current smoker 00
G9643 Elective surgery 00
G9644 No smok b/4 anes day of surg 00
G9645 Had smoke b/4 anes day surg 00
G9646 Pt w/90d mrs 0-2 00
G9648 Pt w/90d mrs >2 00
G9649 Psor as doc spc bm 00
G9651 Psor as doc no spc bm 00
G9654 Mon anesth care 00
G9655 Toc tool incl key elem 00
G9656 Pt trans from anest to pacu 00
G9658 Toc tool incl elem not used 00
G9659 >=86y scr colo nomed rsn 00
G9660 Doc med rsn colo pt >= 86y 00
G9661 Pt >= 86 w/ hi risk 00
G9662 Prior dx/active clin ascvd 00
G9663 Fast/dir ldl >= 190 mg/dl 00
G9664 Taking statin or rec'd order 00
G9665 No statin/no order statin 00
G9674 Pt w/clin ascvd dx 00
G9675 Pt w/fast/dir lab ldl-c >190 00
G9676 40-75y w/type 1/2 w/ldl-c rs 00
G9679 Acute care pneumonia 00
G9680 Acute care congestive heart 00
G9681 Acute care chronic obstruct 00
G9682 Acute care skin infection 00
G9683 Acute fluid/electro disorder 00
G9684 Acute care urinary tract inf 00
G9685 Acute nursing facility care 00
G9687 Hospice anytime msmt per 00
G9688 Pt w/hosp anytime msmt per 00
G9689 Inpt elect carotid intervent 00
G9690 Pt in hos 00
G9691 Pt hosp dur msmt period 00
G9692 Hosp recd by pt dur msmt per 00
G9693 Pt use hosp during msmt per 00
G9694 Hosp srv used pt in msmt per 00
G9695 Long act inhal bronchdil pre 00
G9696 Med rsn no presc bronchdil 00
G9698 Sys rsn no presc bronchdil 00
G9699 Long inhal bronchdil no pres 00
G9700 Pt is w/hosp during msmt per 00
G9702 Pt use hosp during msmt per 00
G9703 Anbx 30 prior to episode 00
G9704 Ajcc br ca stg i: t1 mic/t1a 00
G9705 Ajcc br ca stg ib 00
G9706 Low recur prost ca 00
G9708 Bilat mast/hx bi /unilat mas 00
G9709 Hosp srv used pt in msmt per 00
G9710 Pt prov hosp srv msmt per 00
G9711 Pt hx tot col or colon ca 00
G9712 Doc med rsn presc anbx 00
G9713 Pt use hosp during msmt per 00
G9714 Pt is w/hosp during msmt per 00
G9716 Bmi doc onl fup not cmpltd 00
G9717 Doc pt dx bipol 00
G9719 Pt not ambul/immob/wc 00
G9720 Hospice anytime msmt per 00
G9721 Pt not ambul/immob/wc 00
G9722 Doc hx renal fail or cr+ >=4 00
G9723 Hosp recd by pt dur msmt per 00
G9724 Pt w/doc use anticoag mst yr 00
G9726 Refused to participate 00
G9727 Pt unable cmplt lepf prom 00
G9728 Refused to participate 00
G9729 Pt unbl cmplt lepf prom 00
G9730 Refused to participate 00
G9731 Pt unbl cmplt lepf prom 00
G9732 Refused to participate 00
G9733 Pt unbl cmplt lb fs prom 00
G9734 Refused to participate 00
G9735 Pt unbl cmplt shld fs prom 00
G9736 Refused to participate 00
G9737 Pt unbl cmplt ewh fs prom 00
G9740 Hosp srv to pt dur msmt per 00
G9741 Pt w/hosp anytime msmt per 00
G9744 Pt not eli d/t act dig htn 00
G9745 Doc rsn no hbp scrn or f/u 00
G9746 Mit sten, valve or trans af 00
G9752 Urgent surgery 00
G9753 Doc no dicom, ct other fac 00
G9754 Incid pulm nodule 00
G9755 Doc med rsn no fllw up 00
G9756 Surg proc w/silicone oil 00
G9757 Surg proc w/silicone oil 00
G9758 Pt in hos 00
G9761 Pt w/hosp anytime msmt per 00
G9762 Pt had >= 2-3 hpv vaccines 00
G9763 Pt not have 2-3 hpv vaccines 00
G9764 Pt treatd w/oral syst or bio 00
G9765 Doc pat declined therapy 00
G9766 Cva stroke dx tx transf fac 00
G9767 Hosp new dx cva consid evst 00
G9768 Pt w/hosp anytime msmt per 00
G9769 Bn den 2yr/got ost med/ther 00
G9770 Perip nerve block 00
G9771 Anes end, 1 temp >35.5(95.9) 00
G9772 Doc med rsn no temp >= 35.5 00
G9773 1 bod temp >=35.5 00
G9775 Recd 2 anti-emet pre/intraop 00
G9776 Doc med rsn no proph antiem 00
G9777 Pt no antiemet pre/intraop 00
G9779 Pts breastfeeding 00
G9780 Pts dx w/rhabdomyolysis 00
G9781 Doc rsn no statin 00
G9782 Hx dx fam/pure hypercholes 00
G9784 Path/derm prov 2nd biop opin 00
G9785 Path report sent 00
G9786 Path report not sent 00
G9787 Pt alive 00
G9788 Most rct bp </= 130/80 00
G9789 Record bp ip, er, urg/self 00
G9790 Most rct bp >/= 130/80 00
G9791 Most rct tob stat free 00
G9792 Most rct tob stat not free 00
G9793 Pt on daily asa/antiplat 00
G9794 Doc med rsn no daily aspirin 00
G9795 Pt no daily asa/antiplat 00
G9796 Pt currently on statin 00
G9797 Pt not currently on statin 00
G9805 Pt w/hosp anytime msmt per 00
G9806 Pt recd cerv cyto/hpv 00
G9807 Pt no recd cerv cyto/hpv 00
G9812 Pt died during inpt/30d aft 00
G9813 Pt not died w/in 30d of proc 00
G9818 Doc sex activity 00
G9819 Pt w/hosp anytime msmt per 00
G9820 Doc chlam scr test w/follow 00
G9821 No doc chlam scr ts w/follow 00
G9822 Endo abl proc yr prev ind dt 00
G9823 Endo smpl/hyst bx res doc 00
G9824 Endo smpl/hyst bx res no doc 00
G9830 Her-2 pos 00
G9831 Ajcc stg brt ca dx ii or iii 00
G9832 Br ca stg = 1 t stg = t1c 00
G9838 Pt met dis at dx 00
G9839 Anti-egfr mon anti ther 00
G9840 Gene testing performed 00
G9841 Gene testing not performed 00
G9842 Pt met dis at dx 00
G9843 Kras or nras gene mutation 00
G9844 Pt no recd anti-egfr ther 00
G9845 Pt recd anti-egfr ther 00
G9846 Pt died from cancer 00
G9847 Pt recd chemo last 14d life 00
G9848 Pt no chemo last 14d life 00
G9858 Pt enroll hospice 00
G9859 Pt died from cancer 00
G9860 Pt less 3d hospice 00
G9861 Pt more than 3d hospice 00
G9862 Doc rsn no 10 yr follow 00
G9868 Cmmi asyntelehealth <10min 13
G9869 Cmmi asyntelehealth 10-20min 13
G9870 Cmmi asyntelehealth >20min 13
G9871 Bhv couns dm prev, onln 60 m 00
G9873 1 em core session 00
G9874 4 em core sessions 00
G9875 9 em core sessions 00
G9876 2 em core ms mo 7-9 no wl 00
G9877 2 em core ms mo 10-12 no wl 00
G9878 2 em core ms mo 7-9 wl 00
G9879 2 em core ms mo 10-12 wl 00
G9880 Em 5 percent wl 00
G9881 Em 9 percent wl 00
G9882 2 em ongoing ms mo 13-15 wl 00
G9883 2 em ongoing ms mo 16-18 wl 00
G9884 2 em ongoing ms mo 19-21 wl 00
G9885 2 em ongoing ms mo 22-24 wl 00
G9886 In-person attendance g code 00
G9887 Distance learning attendance 00
G9888 5% wl maintnd from bsline wt 00
G9890 Em bridge payment 00
G9891 Em session reporting 00
G9894 Adr dep thrpy prescribed 00
G9895 Doc med rsn no adr dep thrpy 00
G9896 Doc pt rsn no adr dep thrpy 00
G9897 Pt nt prsc adr dep thrpy rng 00
G9898 Pt 66+ snp or ltc pos > 90d 00
G9899 Scrn mam perf rslts doc 00
G9900 Scrn mam perf rslts not doc 00
G9901 Pt 66+ snp or ltc pos > 90d 00
G9902 Pt scrn tbco and id as user 00
G9903 Pt scrn tbco id as non user 00
G9905 No pt tbco scrn rng 00
G9906 Pt recv tbco cess interv 00
G9908 No pt tbco cess interv rng 00
G9910 Pt 66+ snp or ltc pos > 90d 00
G9911 Node neg pre/post syst ther 00
G9912 Hbv status assesed and int 00
G9913 No hbv status assesd and int 00
G9914 Pt initiated anti-tnf agent 00
G9915 No documntd hbv results rcd 00
G9916 Funct status past 12 months 00
G9917 Adv dem crgvr limited 00
G9918 No funct stat perf, rsn nos 00
G9919 Scrn nd pos nd prov of rec 00
G9920 Scrning perf and negative 00
G9922 Sfty cncrns scrn nd mit recs 00
G9923 Safty cncrns scrn and neg 00
G9925 No scrn prov rsn nos 00
G9926 Sfty cncrns scrn but no recs 00
G9928 No warf or fda drug presc 00
G9929 Trs/rev af 00
G9930 Com care 00
G9931 No chad or chad scr 0 or 1 00
G9938 Pt 66+ snp or ltc pos > 90d 00
G9939 Same path/derm perf biopsy 00
G9940 Doc reas no statin therapy 00
G9943 Bk pn nt msr vas scl pre/pst 00
G9945 Pt w/cancer scoliosis 00
G9946 Bk pain no vas 00
G9949 Leg pain no vas 00
G9954 Pt >2 rsk fac post-op vomit 00
G9955 Inhlnt anesth only for induc 00
G9956 Combo thrpy of >= 2 prophly 00
G9957 Doc med rsn no combo thrpy 00
G9958 No combo prohpyl thrp for pt 00
G9959 Systemic antimicro not presc 00
G9960 Med rsn sys antimi nt rx 00
G9961 Systemic antimicro presc 00
G9962 Embolization doc separatly 00
G9963 Embolization not doc separat 00
G9964 Pt recv >=1 well-chld visit 00
G9965 No well-chld vist recv by pt 00
G9968 Pt refrd 2 pvdr/spclst in pp 00
G9969 Pvdr rfrd pt rprt rcvd 00
G9970 Pvdr rfrd pt no rprt rcvd 00
G9978 Remote e/m new pt 10mins 13
G9979 Remote e/m new pt 20mins 13
G9980 Remote e/m new pt 30 mins 13
G9981 Remote e/m new pt 45mins 13
G9982 Remote e/m new pt 60mins 13
G9983 Remote e/m est. pt 10mins 13
G9984 Remote e/m est. pt 15mins 13
G9985 Remote e/m est. pt 25mins 13
G9986 Remote e/m est. pt 40mins 13
G9987 Bpci advanced in home visit 13
G9988 Pall serv during meas 00
G9992 Pall serv during meas 00
G9993 Pall serv during meas 00
G9994 Pall serv during meas 00
G9996 Doc pt pal or hospice 00
G9997 Doc pt preg dur msrmt pd 00
G9998 Doc med rsn <3 colon 00
G9999 Doc sys rsn <3 colon 00

Last reviewed: September 2026