G codes: Procedures and professional services
Temporary codes for professional services and procedures, screening, care management and quality reporting.
Active HCPCS G codes
Each opens its own page with CMS’s full descriptor, Medicare indicators and dates.
G0008Administration of influenza virus vaccineG0009Administration of pneumococcal vaccineG0010Administration of hepatitis b vaccineG0011Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified…G0012Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into…G0013Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent…G0017Psychotherapy for crisis furnished in an applicable site of service (any place of…G0018Psychotherapy for crisis furnished in an applicable site of service (any place of…G0019Community health integration services performed by certified or trained auxiliary…G0022Community health integration services, each additional 30 minutes per calendar month…G0023Principal illness navigation services by certified or trained auxiliary personnel under…G0024Principal illness navigation services, additional 30 minutes per calendar month (list…G0027Semen analysis; presence and/or motility of sperm excluding huhnerG0029Tobacco screening not performed or tobacco cessation intervention not provided during…G0030Patient screened for tobacco use and received tobacco cessation intervention during the…G0031Palliative care services given to patient any time during the measurement periodG0032Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of…G0033Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of…G0034Patients receiving palliative care during the measurement periodG0035Patient has any emergency department encounter during the performance period with place…G0036Patient or care partner decline assessmentG0037On date of encounter, patient is not able to participate in assessment or screening…G0038Clinician determines patient does not require referralG0039Patient not referred, reason not otherwise specifiedG0040Patient already receiving physical/occupational/speech/recreational therapy during the…G0041Patient and/or care partner decline referralG0042Referral to physical, occupational, speech, or recreational therapyG0043Patients with mechanical prosthetic heart valveG0044Patients with moderate or severe mitral stenosisG0045Clinical follow-up and mrs score assessed at 90 days following endovascular stroke…G0046Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke…G0047Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not…G0048Patients who receive palliative care services any time during the intake period through…G0049With maintenance hemodialysis (in-center and home hd) for the complete reporting monthG0050Patients with a catheter that have limited life expectancyG0051Patients under hospice care in the current reporting monthG0052Patients on peritoneal dialysis for any portion of the reporting monthG0053Advancing rheumatology patient care mips value pathwaysG0054Coordinating stroke care to promote prevention and cultivate positive outcomes mips…G0055Advancing care for heart disease mips value pathwaysG0057Proposed adopting best practices and promoting patient safety within emergency medicine…G0058Improving care for lower extremity joint repair mips value pathwaysG0059Patient safety and support of positive experiences with anesthesia mips value pathwaysG0060Allergy/immunology mips specialty setG0061Anesthesiology mips specialty setG0062Audiology mips specialty setG0063Cardiology mips specialty setG0064Certified nurse midwife mips specialty setG0065Chiropractic medicine mips specialty setG0066Clinical social work mips specialty setG0067Dentistry mips specialty setG0068Professional services for the administration of anti-infective, pain management…G0069Professional services for the administration of subcutaneous immunotherapy or other…G0070Professional services for the administration of intravenous chemotherapy or other…G0076Brief (20 minutes) care management home visit for a new patient. for use only in a…G0077Limited (30 minutes) care management home visit for a new patient. for use only in a…G0078Moderate (45 minutes) care management home visit for a new patient. for use only in a…G0079Comprehensive (60 minutes) care management home visit for a new patient. for use only in…G0080Extensive (75 minutes) care management home visit for a new patient. for use only in a…G0081Brief (20 minutes) care management home visit for an existing patient. for use only in a…G0082Limited (30 minutes) care management home visit for an existing patient. for use only in…G0083Moderate (45 minutes) care management home visit for an existing patient. for use only…G0084Comprehensive (60 minutes) care management home visit for an existing patient. for use…G0085Extensive (75 minutes) care management home visit for an existing patient. for use only…G0086Limited (30 minutes) care management home care plan oversight. for use only in a…G0087Comprehensive (60 minutes) care management home care plan oversight. for use only in a…G0088Professional services, initial visit, for the administration of anti-infective, pain…G0089Professional services, initial visit, for the administration of subcutaneous…G0090Professional services, initial visit, for the administration of intravenous chemotherapy…G0101Cervical or vaginal cancer screening; pelvic and clinical breast examinationG0102Prostate cancer screening; digital rectal examinationG0103Prostate cancer screening; prostate specific antigen test (psa)G0104Colorectal cancer screening; flexible sigmoidoscopyG0105Colorectal cancer screening; colonoscopy on individual at high riskG0108Diabetes outpatient self-management training services, individual, per 30 minutesG0109Diabetes outpatient self-management training services, group session (2 or more), per 30…G0117Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologistG0118Glaucoma screening for high risk patient furnished under the direct supervision of an…G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high riskG0123Screening cytopathology, cervical or vaginal (any reporting system), collected in…G0124Screening cytopathology, cervical or vaginal (any reporting system), collected in…G0127Trimming of dystrophic nails, any numberG0128Direct (face-to-face with patient) skilled nursing services of a registered nurse…G0129Occupational therapy services requiring the skills of a qualified occupational…G0130Single energy x-ray absorptiometry (sexa) bone density study, one or more sites…G0136Administration of a standardized, evidence-based assessment of physical activity and…G0137Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous…G0138Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier…G0140Principal illness navigation - peer support by certified or trained auxiliary personnel…G0141Screening cytopathology smears, cervical or vaginal, performed by automated system, with…G0143Screening cytopathology, cervical or vaginal (any reporting system), collected in…G0144Screening cytopathology, cervical or vaginal (any reporting system), collected in…G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in…G0146Principal illness navigation - peer support, additional 30 minutes per calendar month…G0147Screening cytopathology smears, cervical or vaginal, performed by automated system under…G0148Screening cytopathology smears, cervical or vaginal, performed by automated system with…G0151Services performed by a qualified physical therapist in the home health or hospice…G0152Services performed by a qualified occupational therapist in the home health or hospice…G0153Services performed by a qualified speech-language pathologist in the home health or…G0155Services of clinical social worker in home health or hospice settings, each 15 minutesG0156Services of home health/hospice aide in home health or hospice settings, each 15 minutesG0157Services performed by a qualified physical therapist assistant in the home health or…G0158Services performed by a qualified occupational therapist assistant in the home health or…G0159Services performed by a qualified physical therapist, in the home health setting, in the…G0160Services performed by a qualified occupational therapist, in the home health setting, in…G0161Services performed by a qualified speech-language pathologist, in the home health…G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of…G0166External counterpulsation, per treatment sessionG0168Wound closure utilizing tissue adhesive(s) onlyG0175Scheduled interdisciplinary team conference (minimum of three exclusive of patient care…G0176Activity therapy, such as music, dance, art or play therapies not for recreation…G0177Training and educational services related to the care and treatment of patient's…G0179Physician or allowed practitioner re-certification for medicare-covered home health…G0180Physician or allowed practitioner certification for medicare-covered home health…G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered…G0182Physician supervision of a patient under a medicare-approved hospice (patient not…G0183Quantitative software measurements of cardiac volume, cardiac chambers volumes and left…G0186Destruction of localized lesion of choroid (for example, choroidal neovascularization)…G0219Pet imaging whole body; melanoma for non-covered indicationsG0235Pet imaging, any site, not otherwise specifiedG0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to…G0238Therapeutic procedures to improve respiratory function, other than described by g0237…G0239Therapeutic procedures to improve respiratory function or increase strength or endurance…G0245Initial physician evaluation and management of a diabetic patient with diabetic sensory…G0246Follow-up physician evaluation and management of a diabetic patient with diabetic…G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy…G0248Demonstration, prior to initiation of home inr monitoring, for patient with either…G0249Provision of test materials and equipment for home inr monitoring of patient with either…G0250Physician review, interpretation, and patient management of home inr testing for patient…G0252Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast…G0255Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerveG0257Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient…G0259Injection procedure for sacroiliac joint; arthrographyG0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other…G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as…G0269Placement of occlusive device into either a venous or arterial access site, post…G0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second…G0271Medical nutrition therapy, reassessment and subsequent intervention(s) following second…G0276Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression…G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute intervalG0278Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to…G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in…G0281Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and…G0282Electrical stimulation, (unattended), to one or more areas, for wound care other than…G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than…G0288Reconstruction, computed tomographic angiography of aorta for surgical planning for…G0289Arthroscopy, knee, surgical, for removal of loose body, foreign body…G0293Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal…G0294Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a…G0295Electromagnetic therapy, to one or more areas, for wound care other than described in…G0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct)…G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice…G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health…G0302Pre-operative pulmonary surgery services for preparation for lvrs, complete course of…G0303Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of…G0304Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of servicesG0305Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of servicesG0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc…G0307Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)G0310Immunization counseling by a physician or other qualified health care professional when…G0311Immunization counseling by a physician or other qualified health care professional when…G0312Immunization counseling by a physician or other qualified health care professional when…G0313Immunization counseling by a physician or other qualified health care professional when…G0314Immunization counseling by a physician or other qualified health care professional for…G0315Immunization counseling by a physician or other qualified health care professional for…G0316Prolonged hospital inpatient or observation care evaluation and management service(s)…G0317Prolonged nursing facility evaluation and management service(s) beyond the total time…G0318Prolonged home or residence evaluation and management service(s) beyond the total time…G0320Home health services furnished using synchronous telemedicine rendered via a real-time…G0321Home health services furnished using synchronous telemedicine rendered via telephone or…G0322The collection of physiologic data digitally stored and/or transmitted by the patient to…G0323Care management services for behavioral health conditions, at least 20 minutes of…G0327Colorectal cancer screening; blood-based biomarkerG0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneousG0329Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv…G0330Facility services for dental rehabilitation procedure(s) performed on a patient who…G0333Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiaryG0337Hospice evaluation and counseling services, pre-electionG0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course…G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery…G0341Percutaneous islet cell transplant, includes portal vein catheterization and infusionG0342Laparoscopy for islet cell transplant, includes portal vein catheterization and infusionG0343Laparotomy for islet cell transplant, includes portal vein catheterization and infusionG0372Physician service required to establish and document the need for a power mobility deviceG0378Hospital observation service, per hourG0379Direct admission of patient for hospital observation careG0380Level 1 hospital emergency department visit provided in a type b emergency department…G0381Level 2 hospital emergency department visit provided in a type b emergency department…G0382Level 3 hospital emergency department visit provided in a type b emergency department…G0383Level 4 hospital emergency department visit provided in a type b emergency department…G0384Level 5 hospital emergency department visit provided in a type b emergency department…G0390Trauma response team associated with hospital critical care serviceG0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit…G0397Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit…G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7…G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels…G0400Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channelsG0402Initial preventive physical examination; face-to-face visit, services limited to new…G0403Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial…G0404Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and…G0405Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed…G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes…G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes…G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes…G0409Social work and psychological services, directly relating to and/or furthering the…G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization…G0411Interactive group psychotherapy, in a partial hospitalization or intensive outpatient…G0412Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s)…G0413Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for…G0414Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns…G0415Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture…G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any…G0420Face-to-face educational services related to the care of chronic kidney disease…G0421Face-to-face educational services related to the care of chronic kidney disease; group…G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with…G0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without…G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes…G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes…G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes…G0428Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen…G0429Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds)…G0432Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or…G0433Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa)…G0435Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screeningG0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial…G0439Annual wellness visit, includes a personalized prevention plan of service (pps)…G0442Annual alcohol misuse screening, 5 to 15 minutesG0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutesG0444Annual depression screening, 5 to 15 minutesG0445High intensity behavioral counseling to prevent sexually transmitted infection…G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease…G0447Face-to-face behavioral counseling for obesity, 15 minutesG0448Insertion or replacement of a permanent pacing cardioverter-defibrillator system with…G0451Development testing, with interpretation and report, per standardized instrument formG0452Molecular pathology procedure; physician interpretation and reportG0453Continuous intraoperative neurophysiology monitoring, from outside the operating room…G0454Physician documentation of face-to-face visit for durable medical equipment…G0455Preparation with instillation of fecal microbiota by any method, including assessment of…G0458Low dose rate (ldr) prostate brachytherapy services, composite rateG0459Inpatient telehealth pharmacologic management, including prescription, use, and review…G0460Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic…G0463Hospital outpatient clinic visit for assessment and management of a patientG0465Autologous platelet rich plasma (prp) or other blood-derived product for diabetic…G0466Federally qualified health center (fqhc) visit, new patient; a medically-necessary…G0467Federally qualified health center (fqhc) visit, established patient; a…G0468Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes…G0469Federally qualified health center (fqhc) visit, mental health, new patient; a…G0470Federally qualified health center (fqhc) visit, mental health, established patient; a…G0471Collection of venous blood by venipuncture or urine sample by catheterization from an…G0472Hepatitis c antibody screening, for individual at high risk and other covered…G0473Face-to-face behavioral counseling for obesity, group (2-10), 30 minutesG0475Hiv antigen/antibody, combination assay, screeningG0476Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv)…G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify…G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify…G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify…G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify…G0490Face-to-face home health nursing visit by a rural health clinic (rhc) or federally…G0491Dialysis procedure at a medicare certified esrd facility for acute kidney injury without…G0492Dialysis procedure with single evaluation by a physician or other qualified health care…G0493Skilled services of a registered nurse (rn) for the observation and assessment of the…G0494Skilled services of a licensed practical nurse (lpn) for the observation and assessment…G0495Skilled services of a registered nurse (rn), in the training and/or education of a…G0496Skilled services of a licensed practical nurse (lpn), in the training and/or education…G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in…G0499Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface…G0500Moderate sedation services provided by the same physician or other qualified health care…G0501Resource-intensive services for patients for whom the use of specialized…G0506Comprehensive assessment of and care planning for patients requiring chronic care…G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes…G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50…G0513Prolonged preventive service(s) (beyond the typical service time of the primary…G0514Prolonged preventive service(s) (beyond the typical service time of the primary…G0516Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal…G0517Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal…G0518Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services…G0519Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi…G0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in…G0521Management of new patient-caregiver dyad with dementia, high complexity, for use in cmmi…G0522Management of a new patient with dementia, low complexity, for use in cmmi modelG0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi…G0524Management of established patient-caregiver dyad with dementia, low complexity, for use…G0525Management of established patient-caregiver dyad with dementia, moderate complexity, for…G0526Management of established patient-caregiver dyad with dementia, high complexity, for use…G0527Management of established patient with dementia, low complexity, for use in cmmi modelG0528Management of established patient with dementia, moderate to high complexity, for use in…G0529In-home respite care, 4-hour unit, for use in cmmi modelG0530Adult day center, 8-hour unit, for use in cmmi modelG0531Facility-based respite, 24-hour unit, for use in cmmi modelG0532Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml…G0533Medication assisted treatment, buprenorphine (injectable) administered on a weekly…G0534Coordinated care and/or referral services, such as to adequate and accessible community…G0535Patient navigational services, provided directly or by referral; including helping the…G0536Peer recovery support services, provided directly or by referral; including leveraging…G0537Administration of a standardized, evidence-based atherosclerotic cardiovascular disease…G0538Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff…G0539Caregiver training in behavior management/modification for caregiver(s) of patients with…G0540Caregiver training in behavior management/modification for…G0541Caregiver training in direct care strategies and techniques to support care for patients…G0542Caregiver training in direct care strategies and techniques to support care for patients…G0543Group caregiver training in direct care strategies and techniques to support care for…G0544Post discharge telephonic follow-up contacts performed in conjunction with a discharge…G0545Visit complexity inherent to hospital inpatient or observation care associated with a…G0546Interprofessional telephone/internet/electronic health record assessment and management…G0547Interprofessional telephone/internet/electronic health record assessment and management…G0548Interprofessional telephone/internet/electronic health record assessment and management…G0549Interprofessional telephone/internet/electronic health record assessment and management…G0550Interprofessional telephone/internet/electronic health record assessment and management…G0551Interprofessional telephone/internet/electronic health record referral service(s)…G0552Supply of digital mental health treatment device and initial education and onboarding…G0553First 20 minutes of monthly treatment management services directly related to the…G0554Each additional 20 minutes of monthly treatment management services directly related to…G0555Provision of replacement patient electronics system (e.g., system pillow, handheld…G0556Advanced primary care management services for a patient with one chronic condition…G0557Advanced primary care management services for a patient with multiple (two or more)…G0558Advanced primary care management services for a patient that is a qualified medicare…G0559Post-operative follow-up visit complexity inherent to evaluation and management services…G0560Safety planning interventions, each 20 minutes personally performed by the billing…G0561Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when…G0562Therapeutic radiology simulation-aided field setting; complex, including acquisition of…G0563Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more…G05663d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance…G0567Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening…G0568Initial psychiatric collaborative care management, in the first calendar month of…G0569Subsequent psychiatric collaborative care management, in a subsequent month of…G0570Care management services for behavioral health conditions, directed by a physician or…G0571Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in…G0574Management of new patient with dementia residing in an eligible residential care…G0575Management of established patient with dementia residing in an eligible residential care…G0577Vascular embolization or occlusion procedure with use of a pressure-generating catheter…G0659Drug test(s), definitive, utilizing drug identification methods able to identify…G0660Team remote e/m new pt 10minsG0661Team remote e/m new pt 20minsG0662Team remote e/m new pt 30 minsG0663Team remote e/m new pt 45minsG0664Team remote e/m new pt 60minsG0665Team remote e/m est. pt 10minsG0666Team remote e/m est. pt 15minsG0667Team remote e/m est. pt 25minsG0668Team remote e/m est. pt 40minsG0669Outcome-aligned payment (oap) for technology-enabled chronic care management of early…G0670Outcome-aligned payment (oap) for technology-enabled chronic care management of early…G0671Outcome-aligned payment (oap) for technology-enabled chronic care management of…G0672Outcome-aligned payment (oap) for technology-enabled chronic care management of…G0673Outcome-aligned payment (oap) for technology-enabled chronic care management of…G0674Outcome-aligned payment (oap) for technology-enabled chronic care management of…G0675Outcome-aligned payment (oap) for technology-enabled chronic care management of…G0676Standard co-management service payment for documented review of clinical updates from…G0677Standard co-management service payment for documented review of clinical updates from…G0678Standard co-management service payment for documented review of clinical updates from…G0680Detection and quantification of coronary artery calcium and/or aortic valve…G0681Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular…G0682Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular…G0683Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular…G0684Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular…G0685Algorithm-based assessment of likelihood of autism spectrum disorder (asd), derived from…G0913Improvement in visual function achieved within 90 days following cataract surgeryG0914Patient care survey was not completed by patientG0915Improvement in visual function not achieved within 90 days following cataract surgeryG0916Satisfaction with care achieved within 90 days following cataract surgeryG0917Patient care survey was not completed by patientG0918Satisfaction with care not achieved within 90 days following cataract surgeryG1025Patient-months where there are more than one medicare capitated payment (mcp) provider…G1026The number of adult patient-months in the denominator who were on maintenance…G1027The number of adult patient-months in the denominator who were on maintenance…G1028Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of…G2000Blinded administration of convulsive therapy procedure, either electroconvulsive therapy…G2001Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a…G2002Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a…G2003Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a…G2004Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only…G2005Extensive (75 minutes) in-home visit for a new patient post-discharge. for use only in a…G2006Brief (20 minutes) in-home visit for an existing patient post-discharge. for use only in…G2007Limited (30 minutes) in-home visit for an existing patient post-discharge. for use only…G2008Moderate (45 minutes) in-home visit for an existing patient post-discharge. for use only…G2009Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. for use…G2010Remote evaluation of recorded video and/or images submitted by an established patient…G2011Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit…G2013Extensive (75 minutes) in-home visit for an existing patient post-discharge. for use…G2014Limited (30 minutes) care plan oversight. for use only in a medicare-approved cmmi…G2015Comprehensive (60 mins) home care plan oversight. for use only in a medicare-approved…G2020Services for high intensity clinical services associated with the initial engagement and…G2021Health care practitioners rendering treatment in place (tip)G2022A model participant (ambulance supplier/provider), the beneficiary refuses services…G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc)…G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or…G2068Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing…G2069Medication assisted treatment, buprenorphine (injectable) administered on a monthly…G2073Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or…G2074Medication assisted treatment, weekly bundle not including the drug, including substance…G2075Medication assisted treatment, medication not otherwise specified; weekly bundle…G2076Intake activities, including initial medical examination that is conducted by an…G2077Periodic assessment; assessing periodically by an otp practitioner and includes a review…G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services…G2079Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of…G2080Each additional 30 minutes of counseling in a week of medication assisted treatment…G2081Patients age 66 and older in institutional special needs plans (snp) or residing in…G2082Office or other outpatient visit for the evaluation and management of an established…G2083Office or other outpatient visit for the evaluation and management of an established…G2086Office-based treatment for opioid use disorder, including development of the treatment…G2087Office-based treatment for opioid use disorder, including care coordination, individual…G2088Office-based treatment for opioid use disorder, including care coordination, individual…G2090Patients 66 years of age and older with at least one claim/encounter for frailty during…G2091Patients 66 years of age and older with at least one claim/encounter for frailty during…G2092Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or…G2093Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni…G2094Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni…G2096Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or…G2097Episodes where the patient had a competing diagnosis on or within three days after the…G2098Patients 66 years of age and older with at least one claim/encounter for frailty during…G2099Patients 66 years of age and older with at least one claim/encounter for frailty during…G2100Patients 66 years of age and older with at least one claim/encounter for frailty during…G2101Patients 66 years of age and older with at least one claim/encounter for frailty during…G2105Patient age 66 or older in institutional special needs plans (snp) or residing in…G2106Patients 66 years of age and older with at least one claim/encounter for frailty during…G2107Patients 66 years of age and older with at least one claim/encounter for frailty during…G2112Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening…G2113Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and…G2115Patients 66 - 80 years of age with at least one claim/encounter for frailty during the…G2116Patients 66 - 80 years of age with at least one claim/encounter for frailty during the…G2118Patients 81 years of age and older with at least one claim/encounter for frailty during…G2121Depression, anxiety, apathy, and psychosis assessedG2122Depression, anxiety, apathy, and psychosis not assessedG2125Patients 81 years of age and older with at least one claim/encounter for frailty during…G2126Patients 66-80 years of age with at least one claim/encounter for frailty during the…G2127Patients 66-80 years of age with at least one claim/encounter for frailty during the…G2128Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet…G2129Procedure-related bp's not taken during an outpatient visit. examples include same day…G2136Back pain measured by the visual analog scale (vas) or numeric pain scale at three…G2137Back pain measured by the visual analog scale (vas) or numeric pain scale at three…G2138Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year…G2139Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9…G2140Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months…G2141Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months…G2142Functional status measured by the oswestry disability index (odi version 2.1a) at one…G2143Functional status measured by the oswestry disability index (odi version 2.1a) at one…G2144Functional status measured by the oswestry disability index (odi version 2.1a) at three…G2145Functional status measured by the oswestry disability index (odi version 2.1a) at three…G2146Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year…G2147Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9…G2148Multimodal pain management was usedG2149Documentation of medical reason(s) for not using multimodal pain management (e.g.…G2150Multimodal pain management was not usedG2151Documentation stating patient has a diagnosis of a degenerative neurological condition…G2152Residual score for the neck impairment successfully calculated and the score was equal…G2167Residual score for the neck impairment successfully calculated and the score was less…G2168Services performed by a physical therapist assistant in the home health setting in the…G2169Services performed by an occupational therapist assistant in the home health setting in…G2172All inclusive payment for services related to highly coordinated and integrated opioid…G2173Uri episodes where the patient had a comorbid condition during the 12 months prior to or…G2174Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to…G2175Episodes where the patient had a comorbid condition during the 12 months prior to or on…G2176Outpatient, ed, or observation visits that result in an inpatient admissionG2177Acute bronchitis/bronchiolitis episodes when the patient had a new or refill…G2178Clinician documented that patient was not an eligible candidate for lower extremity…G2179Clinician documented that patient had medical reason for not performing lower extremity…G2180Clinician documented that patient was not an eligible candidate for evaluation of…G2181Bmi not documented due to medical reason or patient refusal of height or weight…G2182Patient receiving first-time biologic and/or immune response modifier therapyG2183Documentation patient unable to communicate and informant not availableG2184Patient does not have a caregiverG2185Documentation caregiver is trained and certified in dementia careG2186Patient /caregiver dyad has been referred to appropriate resources and connection to…G2187Patients with clinical indications for imaging of the head: head traumaG2188Patients with clinical indications for imaging of the head: new or change in headache…G2189Patients with clinical indications for imaging of the head: abnormal neurologic examG2190Patients with clinical indications for imaging of the head: headache radiating to the neckG2191Patients with clinical indications for imaging of the head: positional headachesG2192Patients with clinical indications for imaging of the head: temporal headaches in…G2193Patients with clinical indications for imaging of the head: new onset headache in…G2194Patients with clinical indications for imaging of the head: new onset headache in…G2195Patients with clinical indications for imaging of the head: occipital headache in childrenG2196Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use…G2197Patient screened for unhealthy alcohol use using a systematic screening method and not…G2199Patient not screened for unhealthy alcohol use using a systematic screening methodG2200Patient identified as an unhealthy alcohol user received brief counselingG2202Patient did not receive brief counseling if identified as an unhealthy alcohol userG2204Patients between 45 and 85 years of age who received a screening colonoscopy during the…G2205Patients with pregnancy during adjuvant treatment courseG2206Patient received adjuvant treatment course including both chemotherapy and her2-targeted…G2207Reason for not administering adjuvant treatment course including both chemotherapy and…G2208Patient did not receive adjuvant treatment course including both chemotherapy and…G2209Patient refused to participateG2210Residual score for the neck impairment not measured because the patient did not complete…G2211Visit complexity inherent to evaluation and management associated with medical care…G2212Prolonged office or other outpatient evaluation and management service(s) beyond the…G2213Initiation of medication for the treatment of opioid use disorder in the emergency…G2214Initial or subsequent psychiatric collaborative care management, first 30 minutes in a…G2215Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of…G2216Take-home supply of injectable naloxone (provision of the services by a…G2250Remote assessment of recorded video and/or images submitted by an established patient…G2251Brief communication technology-based service, e.g. virtual check-in, by a qualified…G2252Brief communication technology-based service, e.g. virtual check-in, by a physician or…G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment…G3003Each additional 15 minutes of chronic pain management and treatment by a physician or…G4000Dermatology mips specialty setG4001Diagnostic radiology mips specialty setG4002Electrophysiology cardiac specialist mips specialty setG4003Emergency medicine mips specialty setG4004Endocrinology mips specialty setG4005Family medicine mips specialty setG4006Gastro-enterology mips specialty setG4007General surgery mips specialty setG4008Geriatrics mips specialty setG4009Hospitalists mips specialty setG4010Infectious disease mips specialty setG4011Internal medicine mips specialty setG4012Interventional radiology mips specialty setG4013Mental/behavioral and psychiatry mips specialty setG4014Nephrology mips specialty setG4015Neurology mips specialty setG4016Neurosurgical mips specialty setG4017Nutrition/dietician mips specialty setG4018Obstetrics/gynecology mips specialty setG4019Oncology/hematology mips specialty setG4020Ophthalmology/optometry mips specialty setG4021Orthopedic surgery mips specialty setG4022Otolaryngology mips specialty setG4023Pathology mips specialty setG4024Pediatrics mips specialty setG4025Physical medicine mips specialty setG4026Physical therapy/occupational therapy mips specialty setG4027Plastic surgery mips specialty setG4028Podiatry mips specialty setG4029Preventive medicine mips specialty setG4030Pulmonology mips specialty setG4031Radiation oncology mips specialty setG4032Rheumatology mips specialty setG4033Skilled nursing facility mips specialty setG4034Speech language pathology mips specialty setG4035Thoracic surgery mips specialty setG4036Urgent care mips specialty setG4037Urology mips specialty setG4038Vascular surgery mips specialty setG8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly…G8396Left ventricular ejection fraction (lvef) not performed or documentedG8397Dilated macular or fundus exam performed, including documentation of the presence or…G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever…G8400Patient with central dual-energy x-ray absorptiometry (dxa) results not documented…G8404Lower extremity neurological exam performed and documentedG8405Lower extremity neurological exam not performedG8410Footwear evaluation performed and documentedG8415Footwear evaluation was not performedG8416Clinician documented that patient was not an eligible candidate for footwear evaluation…G8417Bmi is documented above normal parameters and a follow-up plan is documentedG8418Bmi is documented below normal parameters and a follow-up plan is documentedG8419Bmi documented outside normal parameters, no follow-up plan documented, no reason givenG8420Bmi is documented within normal parameters and no follow-up plan is requiredG8421Bmi not documented and no reason is givenG8427Eligible clinician attests to documenting in the medical record they obtained, updated…G8428Current list of medications not documented as obtained, updated, or reviewed by the…G8430Documentation of a medical reason(s) for not documenting, updating, or reviewing the…G8431Screening for depression is documented as being positive and a follow-up plan is…G8432Depression screening not documented, reason not givenG8433Screening for depression not completed, documented patient or medical reasonG8450Beta-blocker therapy prescribedG8451Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the…G8452Beta-blocker therapy not prescribedG8465High or very high risk of recurrence of prostate cancerG8473Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb)…G8474Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb)…G8475Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb)…G8476Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic…G8477Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic…G8478Blood pressure measurement not performed or documented, reason not givenG8510Screening for depression is documented as negative, a follow-up plan is not requiredG8511Screening for depression documented as positive, follow-up plan not documented, reason…G8535Elder maltreatment screen not documented; documentation that patient is not eligible for…G8536No documentation of an elder maltreatment screen, reason not givenG8539Functional outcome assessment documented as positive using a standardized tool and a…G8540Functional outcome assessment not documented as being performed, documentation the…G8541Functional outcome assessment using a standardized tool not documented, reason not givenG8542Functional outcome assessment using a standardized tool is documented; no functional…G8543Documentation of a positive functional outcome assessment using a standardized tool…G8559Patient referred to a physician (preferably a physician with training in disorders of…G8560Patient has a history of active drainage from the ear within the previous 90 daysG8561Patient is not eligible for the referral for otologic evaluation for patients with a…G8562Patient does not have a history of active drainage from the ear within the previous 90…G8563Patient not referred to a physician (preferably a physician with training in disorders…G8564Patient was referred to a physician (preferably a physician with training in disorders…G8565Verification and documentation of sudden or rapidly progressive hearing lossG8566Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly…G8567Patient does not have verification and documentation of sudden or rapidly progressive…G8568Patient was not referred to a physician (preferably a physician with training in…G8569Prolonged postoperative intubation (> 24 hrs) requiredG8570Prolonged postoperative intubation (> 24 hrs) not requiredG8575Developed postoperative renal failure or required dialysisG8576No postoperative renal failure/dialysis not requiredG8577Re-exploration required due to mediastinal bleeding with or without tamponade, unplanned…G8578Re-exploration not required due to mediastinal bleeding with or without tamponade…G8598Aspirin or another antiplatelet therapy usedG8599Aspirin or another antiplatelet therapy not used, reason not givenG8600Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known…G8601Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last…G8602Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last…G8633Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribedG8635Pharmacologic therapy for osteoporosis was not prescribed, reason not givenG8647Residual score for the knee impairment successfully calculated and the score was equal…G8648Residual score for the knee impairment successfully calculated and the score was less…G8650Residual score for the knee impairment not measured because the patient did not complete…G8651Residual score for the hip impairment successfully calculated and the score was equal to…G8652Residual score for the hip impairment successfully calculated and the score was less…G8654Residual score for the hip impairment not measured because the patient did not complete…G8655Residual score for the lower leg, foot or ankle impairment successfully calculated and…G8656Residual score for the lower leg, foot or ankle impairment successfully calculated and…G8658Residual score for the lower leg, foot or ankle impairment not measured because the…G8659Residual score for the low back impairment successfully calculated and the score was…G8660Residual score for the low back impairment successfully calculated and the score was…G8661Risk-adjusted functional status change residual score for the low back impairment not…G8662Residual score for the low back impairment not measured because the patient did not…G8663Residual score for the shoulder impairment successfully calculated and the score was…G8664Residual score for the shoulder impairment successfully calculated and the score was…G8666Residual score for the shoulder impairment not measured because the patient did not…G8667Residual score for the elbow, wrist or hand impairment successfully calculated and the…G8668Residual score for the elbow, wrist or hand impairment successfully calculated and the…G8670Residual score for the elbow, wrist or hand impairment not measured because the patient…G8694Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of…G8708Patient not prescribed antibioticG8709Uri episodes when the patient had competing diagnoses on or three days after the episode…G8710Patient prescribed antibioticG8711Prescribed antibiotic on or within 3 days after the episode dateG8712Antibiotic not prescribed or dispensedG8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade…G8722Documentation of medical reason(s) for not including the pt category, the pn category or…G8723Specimen site is other than anatomic location of primary tumorG8724Pt category, pn category and histologic grade were not documented in the pathology…G8733Elder maltreatment screen documented as positive and a follow-up plan is documentedG8734Elder maltreatment screen documented as negative, follow-up is not requiredG8735Elder maltreatment screen documented as positive, follow-up plan not documented, reason…G8749Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as…G8752Most recent systolic blood pressure < 140 mmhgG8753Most recent systolic blood pressure >= 140 mmhgG8754Most recent diastolic blood pressure < 90 mmhgG8755Most recent diastolic blood pressure >= 90 mmhgG8756No documentation of blood pressure measurement, reason not givenG8783Normal blood pressure reading documented, follow-up not requiredG8785Blood pressure reading not documented, reason not givenG8797Specimen site other than anatomic location of esophagusG8798Specimen site other than anatomic location of prostateG8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location…G8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by…G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not givenG8815Documented reason in the medical records for why the statin therapy was not prescribed…G8816Statin medication prescribed at dischargeG8817Statin therapy not prescribed at discharge, reason not givenG8826Patient discharged to home no later than post-operative day #2 following evarG8833Patient not discharged to home by post-operative day #2 following evarG8834Patient discharged to home no later than post-operative day #2 following ceaG8838Patient not discharged to home by post-operative day #2 following ceaG8839Sleep apnea symptoms assessed, including presence or absence of snoring and daytime…G8840Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g.…G8841Sleep apnea symptoms not assessed, reason not givenG8842Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event…G8843Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a…G8844Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event…G8845Positive airway pressure therapy prescribedG8846Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory…G8849Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g.…G8850Positive airway pressure therapy not prescribed, reason not givenG8851Adherence to therapy was assessed at least annually through an objective informatics…G8854Documentation of reason(s) for not objectively reporting adherence to evidence-based…G8855Adherence to therapy was not assessed at least annually through an objective informatics…G8856Referral to a physician for an otologic evaluation performedG8857Patient is not eligible for the referral for otologic evaluation measure (e.g., patients…G8858Referral to a physician for an otologic evaluation not performed, reason not givenG8863Patients not assessed for risk of bone loss, reason not givenG8864Pneumococcal vaccine administered or previously receivedG8865Documentation of medical reason(s) for not administering or previously receiving…G8866Documentation of patient reason(s) for not administering or previously receiving…G8867Pneumococcal vaccine not administered or previously received, reason not givenG8869Patient has documented immunity to hepatitis b and initiating anti-tnf therapyG8875Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy methodG8876Documentation of reason(s) for not performing minimally invasive biopsy to diagnose…G8877Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a…G8878Sentinel lymph node biopsy procedure performedG8880Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could…G8881Stage of breast cancer is greater than t1n0m0 or t2n0m0G8882Sentinel lymph node biopsy procedure not performed, reason not givenG8907Patient documented not to have experienced any of the following events: a burn prior to…G8908Patient documented to have received a burn prior to dischargeG8909Patient documented not to have received a burn prior to dischargeG8910Patient documented to have experienced a fall within ascG8911Patient documented not to have experienced a fall within ambulatory surgical centerG8912Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong…G8913Patient documented not to have experienced a wrong site, wrong side, wrong patient…G8914Patient documented to have experienced a hospital transfer or hospital admission upon…G8915Patient documented not to have experienced a hospital transfer or hospital admission…G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi)…G8917Patient with preoperative order for iv antibiotic surgical site infection (ssi)…G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi)…G8923Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of…G8924Spirometry results documented (fev1/fvc < 70%)G8934Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of…G8935Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin…G8936Clinician documented that patient was not an eligible candidate for angiotensin…G8937Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin…G8942Functional outcome assessment using a standardized tool is documented within the…G8944Ajcc melanoma cancer stage 0 through iic melanomaG8946Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g.…G8950Elevated or hypertensive blood pressure reading documented, and the indicated follow-up…G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not…G8955Most recent assessment of adequacy of volume management documentedG8956Patient receiving maintenance hemodialysis in an outpatient dialysis facilityG8958Assessment of adequacy of volume management not documented, reason not givenG8961Cardiac stress imaging test primarily performed on low-risk surgery patient for…G8962Cardiac stress imaging test performed on patient for any reason including those who did…G8967Fda approved oral anticoagulant is prescribedG8968Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant…G8969Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda…G8970No risk factors or one moderate risk factor for thromboembolismG9001Coordinated care fee, initial rateG9002Coordinated care fee, maintenance rateG9003Coordinated care fee, risk adjusted high, initialG9004Coordinated care fee, risk adjusted low, initialG9005Coordinated care fee, risk adjusted maintenanceG9006Coordinated care fee, home monitoringG9007Coordinated care fee, scheduled team conferenceG9008Coordinated care fee, physician coordinated care oversight servicesG9009Coordinated care fee, risk adjusted maintenance, level 3G9010Coordinated care fee, risk adjusted maintenance, level 4G9011Coordinated care fee, risk adjusted maintenance, level 5G9012Other specified case management service not elsewhere classifiedG9013Esrd demo basic bundle level iG9014Esrd demo expanded bundle including venous access and related servicesG9016Smoking cessation counseling, individual, in the absence of or in addition to any other…G9050Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer…G9051Oncology; primary focus of visit; treatment decision-making after disease is staged or…G9052Oncology; primary focus of visit; surveillance for disease recurrence for patient who…G9053Oncology; primary focus of visit; expectant management of patient with evidence of…G9054Oncology; primary focus of visit; supervising, coordinating or managing care of patient…G9055Oncology; primary focus of visit; other, unspecified service not otherwise listed (for…G9056Oncology; practice guidelines; management adheres to guidelines (for use in a…G9057Oncology; practice guidelines; management differs from guidelines as a result of patient…G9058Oncology; practice guidelines; management differs from guidelines because the treating…G9059Oncology; practice guidelines; management differs from guidelines because the patient…G9060Oncology; practice guidelines; management differs from guidelines for reason(s)…G9061Oncology; practice guidelines; patient's condition not addressed by available guidelines…G9062Oncology; practice guidelines; management differs from guidelines for other reason(s)…G9063Oncology; disease status; limited to non-small cell lung cancer; extent of disease…G9064Oncology; disease status; limited to non-small cell lung cancer; extent of disease…G9065Oncology; disease status; limited to non-small cell lung cancer; extent of disease…G9066Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at…G9067Oncology; disease status; limited to non-small cell lung cancer; extent of disease…G9068Oncology; disease status; limited to small cell and combined small cell/non-small cell…G9069Oncology; disease status; small cell lung cancer, limited to small cell and combined…G9070Oncology; disease status; small cell lung cancer, limited to small cell and combined…G9071Oncology; disease status; invasive female breast cancer (does not include ductal…G9072Oncology; disease status; invasive female breast cancer (does not include ductal…G9073Oncology; disease status; invasive female breast cancer (does not include ductal…G9074Oncology; disease status; invasive female breast cancer (does not include ductal…G9075Oncology; disease status; invasive female breast cancer (does not include ductal…G9077Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell…G9078Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell…G9079Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell…G9080Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial…G9083Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease…G9084Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9085Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9086Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9087Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9088Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9089Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as…G9090Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9091Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9092Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9093Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9094Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9095Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as…G9096Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell…G9097Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell…G9098Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell…G9099Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell…G9100Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell…G9101Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell…G9102Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell…G9103Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell…G9104Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell…G9105Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant…G9106Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1 or r2…G9107Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at…G9108Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of…G9109Oncology; disease status; head and neck cancer, limited to cancers of oral cavity…G9110Oncology; disease status; head and neck cancer, limited to cancers of oral cavity…G9111Oncology; disease status; head and neck cancer, limited to cancers of oral cavity…G9112Oncology; disease status; head and neck cancer, limited to cancers of oral cavity…G9113Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage…G9114Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage…G9115Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage…G9116Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of…G9117Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of…G9123Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia…G9124Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia…G9125Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia…G9126Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia…G9128Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering…G9129Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or…G9130Oncology; disease status; limited to multiple myeloma, systemic disease; extent of…G9131Oncology; disease status; invasive female breast cancer (does not include ductal…G9132Oncology; disease status; prostate cancer, limited to adenocarcinoma…G9133Oncology; disease status; prostate cancer, limited to adenocarcinoma…G9134Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i…G9135Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage…G9136Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular…G9137Oncology; disease status; non-hodgkin's lymphoma, any cellular classification…G9138Oncology; disease status; non-hodgkin's lymphoma, any cellular classification…G9139Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia…G9140Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for…G9143Warfarin responsiveness testing by genetic technique using any method, any number of…G9147Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any…G9148National committee for quality assurance - level 1 medical homeG9149National committee for quality assurance - level 2 medical homeG9150National committee for quality assurance - level 3 medical homeG9151Mapcp demonstration - state provided servicesG9152Mapcp demonstration - community health teamsG9153Mapcp demonstration - physician incentive poolG9156Evaluation for wheelchair requiring face to face visit with physicianG9157Transesophageal doppler measurement of cardiac output (including probe placement, image…G9187Bundled payments for care improvement initiative home visit for patient assessment…G9188Beta-blocker therapy not prescribed, reason not givenG9189Beta-blocker therapy prescribed or currently being takenG9190Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg…G9191Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient…G9212Dsm-ivtm criteria for major depressive disorder documented at the initial evaluationG9213Dsm-iv-tr criteria for major depressive disorder not documented at the initial…G9223Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell…G9225Foot exam was not performed, reason not givenG9226Foot examination performed (includes examination through visual inspection, sensory exam…G9227Functional outcome assessment documented, care plan not documented, documentation the…G9228Chlamydia, gonorrhea and syphilis screening results documented (report when results are…G9230Chlamydia, gonorrhea, and syphilis not screened, reason not givenG9231Documentation of end stage renal disease (esrd), dialysis, renal transplant before or…G9242Documentation of viral load equal to or greater than 200 copies/ml or viral load not…G9243Documentation of viral load less than 200 copies/mlG9246Patient did not have two eligible encounters at least 90 days apart or one eligible…G9247Patient had two eligible encounters at least 90 days apart or one eligible encounter and…G9254Documentation of patient discharged to home later than post-operative day 2 following…G9255Documentation of patient discharged to home no later than post operative day 2 following…G9273Blood pressure has a systolic value of < 140 and a diastolic value of < 90G9274Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic…G9275Documentation that patient is a current non-tobacco userG9276Documentation that patient is a current tobacco userG9277Documentation that the patient is on daily aspirin or anti-platelet or has documentation…G9278Documentation that the patient is not on daily aspirin or anti-platelet regimenG9279Pneumococcal screening performed and documentation of vaccination received prior to…G9280Pneumococcal vaccination not administered prior to discharge, reason not specifiedG9281Screening performed and documentation that vaccination not indicated/patient refusalG9282Documentation of medical reason(s) for not reporting the histological type or nsclc-nos…G9283Non small cell lung cancer biopsy and cytology specimen report documents classification…G9284Non small cell lung cancer biopsy and cytology specimen report does not document…G9285Specimen site other than anatomic location of lung or is not classified as non small…G9286Antibiotic regimen prescribed within 10 days after onset of symptomsG9287Antibiotic regimen not prescribed within 10 days after onset of symptomsG9288Documentation of medical reason(s) for not reporting the histological type or nsclc-nos…G9289Non small cell lung cancer biopsy and cytology specimen report documents classification…G9290Non small cell lung cancer biopsy and cytology specimen report does not document…G9291Specimen site other than anatomic location of lung, is not classified as non small cell…G9292Documentation of medical reason(s) for not reporting pt category and a statement on…G9293Pathology report does not include the pt category and a statement on thickness and…G9294Pathology report includes the pt category and a statement on thickness and ulceration…G9295Specimen site other than anatomic cutaneous locationG9296Patients with documented shared decision-making including discussion of conservative…G9297Shared decision-making including discussion of conservative (non-surgical) therapy…G9298Patients who are evaluated for venous thromboembolic and cardiovascular risk factors…G9299Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors…G9305Intervention for presence of leak of endoluminal contents through an anastomosis not…G9306Intervention for presence of leak of endoluminal contents through an anastomosis requiredG9307No return to the operating room for a surgical procedure, for complications of the…G9308Unplanned return to the operating room for a surgical procedure, for complications of…G9309No unplanned hospital readmission within 30 days of principal procedureG9310Unplanned hospital readmission within 30 days of principal procedureG9311No surgical site infectionG9312Surgical site infectionG9313Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the…G9314Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the…G9315Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the…G9316Documentation of patient-specific risk assessment with a risk calculator based on…G9317Documentation of patient-specific risk assessment with a risk calculator based on…G9318Imaging study named according to standardized nomenclatureG9319Imaging study not named according to standardized nomenclature, reason not givenG9321Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion…G9322Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid…G9341Search conducted for prior patient ct studies completed at non-affiliated external…G9342Search not conducted prior to an imaging study being performed for prior patient ct…G9344Due to system reasons search not conducted for dicom format images for prior patient ct…G9345Follow-up recommendations documented according to recommended guidelines for…G9347Follow-up recommendations not documented according to recommended guidelines for…G9351More than one ct scan of the paranasal sinuses ordered or received within 90 days after…G9352More than one ct scan of the paranasal sinuses ordered or received within 90 days after…G9353More than one ct scan of the paranasal sinuses ordered or received within 90 days after…G9354One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date…G9355Elective delivery (without medical indication) by cesarean birth or induction of labor…G9356Elective delivery (without medical indication) by cesarean birth or induction of labor…G9357Post-partum screenings, evaluations and education performedG9358Post-partum screenings, evaluations and education not performedG9361Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of…G9364Sinusitis caused by, or presumed to be caused by, bacterial infectionG9367At least two orders for high-risk medications from the same drug classG9368At least two orders for high-risk medications from the same drug class not orderedG9380Patient offered assistance with end of life issues or existing end of life plan was…G9382Patient not offered assistance with end of life issues or existing end of life plan was…G9383Patient received screening for hcv infection within the 12 month reporting periodG9384Documentation of medical reason(s) for not receiving annual screening for hcv infection…G9385Documentation of patient reason(s) for not receiving annual screening for hcv infection…G9386Screening for hcv infection not received within the 12 month reporting period, reason…G9393Patient with an initial phq-9 score greater than nine who achieves remission at twelve…G9394Patient who had a diagnosis of bipolar disorder or personality disorder, death…G9395Patient with an initial phq-9 score greater than nine who did not achieve remission at…G9396Patient with an initial phq-9 score greater than nine who was not assessed for remission…G9408Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 daysG9409Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 daysG9410Patient admitted within 180 days, status post cied implantation, replacement, or…G9411Patient not admitted within 180 days, status post cied implantation, replacement, or…G9412Patient admitted within 180 days, status post cied implantation, replacement, or…G9413Patient not admitted within 180 days, status post cied implantation, replacement, or…G9414Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b)…G9415Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y or a, c…G9416Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or…G9417Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine…G9418Primary non-small cell lung cancer lung biopsy and cytology specimen report documents…G9419Documentation of medical reason(s) for not including the histological type or nsclc-nos…G9420Specimen site other than anatomic location of lung or is not classified as primary…G9421Primary non-small cell lung cancer lung biopsy and cytology specimen report does not…G9422Primary lung carcinoma resection report documents pt category, pn category and for…G9423Documentation of medical reason for not including pt category, pn category and…G9424Specimen site other than anatomic location of lung, or classified as nsclc-nosG9425Primary lung carcinoma resection report does not document pt category, pn category and…G9426Improvement in median time from ed arrival to initial ed oral or parenteral pain…G9427Improvement in median time from ed arrival to initial ed oral or parenteral pain…G9428Pathology report includes the pt category, thickness, ulceration and mitotic rate…G9429Documentation of medical reason(s) for not including pt category, thickness, ulceration…G9430Specimen site other than anatomic cutaneous locationG9431Pathology report does not include the pt category, thickness, ulceration and mitotic…G9432Asthma well-controlled based on the act, c-act, acq, or ataq score and results documentedG9434Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified…G9452Documentation of medical reason(s) for not receiving hcv antibody test due to limited…G9455Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast…G9456Documentation of medical or patient reason(s) for not ordering or performing screening…G9457Patient did not undergo abdominal imaging and did not have a documented reason for not…G9468Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone…G9470Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone…G9471Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or…G9473Services performed by chaplain in the hospice setting, each 15 minutesG9474Services performed by dietary counselor in the hospice setting, each 15 minutesG9475Services performed by other counselor in the hospice setting, each 15 minutesG9476Services performed by volunteer in the hospice setting, each 15 minutesG9477Services performed by care coordinator in the hospice setting, each 15 minutesG9478Services performed by other qualified therapist in the hospice setting, each 15 minutesG9479Services performed by qualified pharmacist in the hospice setting, each 15 minutesG9480Admission to medicare care choice model program (mccm)G9481Remote in-home visit for the evaluation and management of a new patient for use only in…G9482Remote in-home visit for the evaluation and management of a new patient for use only in…G9483Remote in-home visit for the evaluation and management of a new patient for use only in…G9484Remote in-home visit for the evaluation and management of a new patient for use only in…G9485Remote in-home visit for the evaluation and management of a new patient for use only in…G9486Remote in-home visit for the evaluation and management of an established patient for use…G9487Remote in-home visit for the evaluation and management of an established patient for use…G9488Remote in-home visit for the evaluation and management of an established patient for use…G9489Remote in-home visit for the evaluation and management of an established patient for use…G9490Cms innovation center models, home visit for patient assessment performed by clinical…G9497Received instruction from the anesthesiologist or proxy prior to the day of surgery to…G9498Antibiotic regimen prescribedG9500Radiation exposure indices documented in final report for procedure using fluoroscopyG9501Radiation exposure indices not documented in final report for procedure using…G9502Documentation of medical reason for not performing foot exam (i.e., patients who have…G9504Documented reason for not assessing hepatitis b virus (hbv) status (e.g., patient not…G9505Antibiotic regimen prescribed within 10 days after onset of symptoms for documented…G9507Documentation that the patient is on a statin medication or has documentation of a valid…G9508Documentation that the patient is not on a statin medicationG9509Adult patients 18 years of age or older with major depression or dysthymia who reached…G9510Adult patients 18 years of age or older with major depression or dysthymia who did not…G9511Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month…G9512Individual had a pdc of 0.8 or greaterG9513Individual did not have a pdc of 0.8 or greaterG9514Patient required a return to the operating room within 90 days of surgeryG9515Patient did not require a return to the operating room within 90 days of surgeryG9516Patient achieved an improvement in visual acuity, from their preoperative level, within…G9517Patient did not achieve an improvement in visual acuity, from their preoperative level…G9518Documentation of active injection drug useG9519Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their…G9520Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of…G9521Total number of emergency department visits and inpatient hospitalizations less than two…G9522Total number of emergency department visits and inpatient hospitalizations equal to or…G9529Patient with minor blunt head trauma had an appropriate indication(s) for a head ctG9530Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by…G9531Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is…G9533Patient with minor blunt head trauma did not have an appropriate indication(s) for a…G9537Imaging needed as part of a clinical trial; or other clinician ordered the studyG9539Intent for potential removal at time of placementG9540Patient alive 3 months post procedureG9541Filter removed within 3 months of placementG9542Documented re-assessment for the appropriateness of filter removal within 3 months of…G9543Documentation of at least two attempts to reach the patient to arrange a clinical…G9544Patients that do not have the filter removed, documented re-assessment for the…G9547Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less…G9548Final reports for imaging studies stating no follow-up imaging is recommendedG9549Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient…G9550Final reports for imaging studies with follow-up imaging recommended, or final reports…G9551Final reports for imaging studies without an incidentally found lesion notedG9552Incidental thyroid nodule < 1.0 cm noted in reportG9553Prior thyroid disease diagnosisG9554Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging…G9555Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has…G9556Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not…G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an…G9580Door to puncture time of 90 minutes or lessG9582Door to puncture time of greater than 90 minutes, no reason givenG9593Pediatric patient with minor blunt head trauma classified as low risk according to the…G9594Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by…G9595Patient has documentation of ventricular shunt, brain tumor, or coagulopathyG9597Pediatric patient with minor blunt head trauma not classified as low risk according to…G9598Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor…G9599Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor…G9603Patient survey score improved from baseline following treatmentG9605Patient survey score did not improve from baseline following treatmentG9606Intraoperative cystoscopy performed to evaluate for lower tract injuryG9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral…G9608Intraoperative cystoscopy not performed to evaluate for lower tract injuryG9609Documentation of an order for anti-platelet agentsG9610Documentation of medical reason(s) in the patient's record for not ordering…G9611Order for anti-platelet agents was not documented in the patient's record, reason not…G9621Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use…G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol…G9624Patient not screened for unhealthy alcohol use using a systematic screening method or…G9625Patient sustained bladder injury at the time of surgery or discovered subsequently up to…G9626Documented medical reason for not reporting bladder injury (e.g., gynecologic or other…G9627Patient did not sustain bladder injury at the time of surgery nor discovered…G9628Patient sustained bowel injury at the time of surgery or discovered subsequently up to…G9629Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other…G9630Patient did not sustain a bowel injury at the time of surgery nor discovered…G9637Final reports with documentation of one or more dose reduction techniques (e.g.…G9638Final reports without documentation of one or more dose reduction techniques (e.g.…G9642Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)G9643Elective surgeryG9644Patients who abstained from smoking prior to anesthesia on the day of surgery or procedureG9645Patients who did not abstain from smoking prior to anesthesia on the day of surgery or…G9646Patients with 90 day mrs score of 0 to 2G9648Patients with 90 day mrs score greater than 2G9649Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g.…G9651Psoriasis assessment tool documented not meeting any one of the specified benchmarks…G9654Monitored anesthesia care (mac)G9655A transfer of care protocol or handoff tool/checklist that includes the required key…G9656Patient transferred directly from anesthetizing location to pacu or other non-icu locationG9658A transfer of care protocol or handoff tool/checklist that includes the required key…G9659Patients greater than or equal to 86 years of age who underwent a screening colonoscopy…G9660Documentation of medical reason(s) for a colonoscopy performed on a patient greater than…G9661Patients greater than or equal to 86 years of age who received a colonoscopy for an…G9662Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedureG9663Any ldl-c laboratory result >= 190 mg/dlG9664Patients who are currently statin therapy users or received an order (prescription) for…G9665Patients who are not currently statin therapy users or did not receive an order…G9674Patients with clinical ascvd diagnosisG9675Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dlG9676Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or…G9679This code is for onsite acute care treatment of a nursing facility resident with…G9680This code is for onsite acute care treatment of a nursing facility resident with chf…G9681This code is for onsite acute care treatment of a resident with copd or asthma; may only…G9682This code is for the onsite acute care treatment a nursing facility resident with a skin…G9683Facility service(s) for the onsite acute care treatment of a nursing facility resident…G9684This code is for the onsite acute care treatment of a nursing facility resident for a…G9685Physician service or other qualified health care professional for the evaluation and…G9687Hospice services provided to patient any time during the measurement periodG9688Patients using hospice services any time during the measurement periodG9689Patient admitted for performance of elective carotid interventionG9690Patient receiving hospice services any time during the measurement periodG9691Patient had hospice services any time during the measurement periodG9692Hospice services received by patient any time during the measurement periodG9693Patient use of hospice services any time during the measurement periodG9694Hospice services utilized by patient any time during the measurement periodG9695Long-acting inhaled bronchodilator prescribedG9696Documentation of medical reason(s) for not prescribing a long-acting inhaled…G9698Documentation of system reason(s) for not prescribing a long-acting inhaled…G9699Long-acting inhaled bronchodilator not prescribed, reason not otherwise specifiedG9700Patients who use hospice services any time during the measurement periodG9702Patients who use hospice services any time during the measurement periodG9703Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the…G9704Ajcc breast cancer stage i: t1 mic or t1a documentedG9705Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension)…G9706Low (or very low) risk of recurrence, prostate cancerG9708Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or…G9709Hospice services used by patient any time during the measurement periodG9710Patient was provided hospice services any time during the measurement periodG9711Patients with a diagnosis or past history of total colectomy or colorectal cancerG9712Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g.…G9713Patients who use hospice services any time during the measurement periodG9714Patient is using hospice services any time during the measurement periodG9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed…G9717Documentation stating the patient has had a diagnosis of bipolar disorderG9719Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound…G9720Hospice services for patient occurred any time during the measurement periodG9721Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound…G9722Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal…G9723Hospice services for patient received any time during the measurement periodG9724Patients who had documentation of use of anticoagulant medications overlapping the…G9726Patient refused to participateG9727Patient unable to complete the lepf prom at initial evaluation and/or discharge due to…G9728Patient refused to participateG9729Patient unable to complete the lepf prom at initial evaluation and/or discharge due to…G9730Patient refused to participateG9731Patient unable to complete the lepf prom at initial evaluation and/or discharge due to…G9732Patient refused to participateG9733Patient unable to complete the low back fs prom at initial evaluation and/or discharge…G9734Patient refused to participateG9735Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge…G9736Patient refused to participateG9737Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or…G9740Hospice services given to patient any time during the measurement periodG9741Patients who use hospice services any time during the measurement periodG9744Patient not eligible due to active diagnosis of hypertensionG9745Documented reason for not screening or recommending a follow-up for high blood pressureG9746Patient has mitral stenosis or prosthetic heart valves or patient has transient or…G9752Emergency surgeryG9753Documentation of medical reason for not conducting a search for dicom format images for…G9754A finding of an incidental pulmonary noduleG9755Documentation of medical reason(s) for not including a recommended interval and modality…G9756Surgical procedures that included the use of silicone oilG9757Surgical procedures that included the use of silicone oilG9758Patient in hospice at any time during the measurement periodG9761Patients who use hospice services any time during the measurement periodG9762Patient had at least two hpv vaccines (with at least 146 days between the two) or three…G9763Patient did not have at least two hpv vaccines (with at least 146 days between the two)…G9764Patient has been treated with a systemic medication for psoriasis vulgarisG9765Documentation that the patient declined change in medication or alternative therapies…G9766Patients who are transferred from one institution to another with a known diagnosis of…G9767Hospitalized patients with newly diagnosed cva considered for endovascular stroke…G9768Patients who utilize hospice services any time during the measurement periodG9769Patient had a bone mineral density test in the past two years or received osteoporosis…G9770Peripheral nerve block (pnb)G9771At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius…G9772Documentation of medical reason(s) for not achieving at least 1 body temperature…G9773At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius…G9775Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different…G9776Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic…G9777Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of…G9779Patients who are breastfeeding at any time during the performance periodG9780Patients who have a diagnosis of rhabdomyolysis at any time during the performance periodG9781Documentation of medical reason(s) for not currently being a statin therapy user or…G9782History of or active diagnosis of familial hypercholesterolemiaG9784Pathologists/dermatopathologists providing a second opinion on a biopsyG9785Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or…G9786Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or…G9787Patient alive as of the last day of the measurement yearG9788Most recent bp is less than or equal to 130/80 mm hgG9789Blood pressure recorded during inpatient stays, emergency room visits, or urgent care…G9790Most recent bp is greater than 130/80 mm hg, or blood pressure not documentedG9791Most recent tobacco status is tobacco freeG9792Most recent tobacco status is not tobacco freeG9793Patient is currently on a daily aspirin or other antiplateletG9794Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet…G9795Patient is not currently on a daily aspirin or other antiplateletG9796Patient is currently on a high intensity statin therapyG9797Patient is not on a high intensity statin therapyG9805Patients who use hospice services any time during the measurement periodG9806Patients who received cervical cytology or an hpv testG9807Patients who did not receive cervical cytology or an hpv testG9812Patient died including all deaths occurring during the hospitalization in which the…G9813Patient did not die within 30 days of the procedure or during the index hospitalizationG9818Documentation of sexual activityG9819Patients who use hospice services any time during the measurement periodG9820Documentation of a chlamydia screening test with proper follow-upG9821No documentation of a chlamydia screening test with proper follow-upG9822Patients who had an endometrial ablation procedure during the 12 months prior to the…G9823Endometrial sampling or hysteroscopy with biopsy and results documented during the 12…G9824Endometrial sampling or hysteroscopy with biopsy and results not documented during the…G9830Her-2/neu positiveG9831Ajcc stage at breast cancer diagnosis = ii or iiiG9832Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer…G9838Patient has metastatic disease at diagnosisG9839Anti-egfr monoclonal antibody therapyG9840Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moabG9841Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr…G9842Patient has metastatic disease at diagnosisG9843Ras (kras or nras) gene mutationG9844Patient did not receive anti-egfr monoclonal antibody therapyG9845Patient received anti-egfr monoclonal antibody therapyG9846Patients who died from cancerG9847Patient received systemic cancer-directed therapy in the last 14 days of lifeG9848Patient did not receive systemic cancer-directed therapy in the last 14 days of lifeG9858Patient enrolled in hospiceG9859Patients who died from cancerG9860Patient spent less than three days in hospice careG9861Patient spent greater than or equal to three days in hospice careG9862Documentation of medical reason(s) for not recommending at least a 10 year follow-up…G9868Receipt and analysis of remote, asynchronous images for dermatologic and/or…G9869Receipt and analysis of remote, asynchronous images for dermatologic and/or…G9870Receipt and analysis of remote, asynchronous images for dermatologic and/or…G9871Behavioral counseling for diabetes prevention, online, 60 minutesG9873First medicare diabetes prevention program (mdpp) core session was attended by an mdpp…G9874Four total medicare diabetes prevention program (mdpp) core sessions were attended by an…G9875Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an…G9876Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were…G9877Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were…G9878Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were…G9879Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were…G9880The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight…G9881The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight…G9882Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were…G9883Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were…G9884Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were…G9885Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were…G9886Behavioral counseling for diabetes prevention, in-person, group, 60 minutesG9887Behavioral counseling for diabetes prevention, distance learning, 60 minutesG9888Maintenance 5% wl from baseline weight in months 7-12G9890Bridge payment: a one-time payment for the first medicare diabetes prevention program…G9891Mdpp session reported as a line-item on a claim for a payable mdpp expanded model (em)…G9894Androgen deprivation therapy prescribed/administered in combination with external beam…G9895Documentation of medical reason(s) for not prescribing/administering androgen…G9896Documentation of patient reason(s) for not prescribing/administering androgen…G9897Patients who were not prescribed/administered androgen deprivation therapy in…G9898Patients age 66 or older in institutional special needs plans (snp) or residing in…G9899Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography…G9900Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography…G9901Patient age 66 or older in institutional special needs plans (snp) or residing in…G9902Patient screened for tobacco use and identified as a tobacco userG9903Patient screened for tobacco use and identified as a tobacco non-userG9905Patient not screened for tobacco useG9906Patient identified as a tobacco user received tobacco cessation intervention during the…G9908Patient identified as tobacco user did not receive tobacco cessation intervention during…G9910Patients age 66 or older in institutional special needs plans (snp) or residing in…G9911Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after…G9912Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating…G9913Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating…G9914Patient initiated an anti-tnf agentG9915No record of hbv results documentedG9916Functional status performed once in the last 12 monthsG9917Documentation of advanced stage dementia and caregiver knowledge is limitedG9918Functional status not performed, reason not otherwise specifiedG9919Screening performed and positive and provision of recommendationsG9920Screening performed and negativeG9922Safety concerns screen provided and if positive then documented mitigation recommendationsG9923Safety concerns screen provided and negativeG9925Safety concerns screening not provided, reason not otherwise specifiedG9926Safety concerns screening positive screen is without provision of mitigation…G9928Fda-approved anticoagulant not prescribed, reason not givenG9929Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism…G9930Patients who are receiving comfort care onlyG9931Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for womenG9938Patients aged 66 or older in institutional special needs plans (snp) or residing in…G9939Pathologists/dermatopathologists is the same clinician who performed the biopsyG9940Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in vitro…G9943Back pain was not measured by the visual analog scale (vas) or numeric pain scale at…G9945Patient had cancer, acute fracture or infection related to the lumbar spine or patient…G9946Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one…G9949Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at…G9954Patient exhibits 2 or more risk factors for post-operative vomitingG9955Cases in which an inhalational anesthetic is used only for inductionG9956Patient received combination therapy consisting of at least two prophylactic…G9957Documentation of medical reason for not receiving combination therapy consisting of at…G9958Patient did not receive combination therapy consisting of at least two prophylactic…G9959Systemic antimicrobials not prescribedG9960Documentation of medical reason(s) for prescribing systemic antimicrobialsG9961Systemic antimicrobials prescribedG9962Embolization endpoints are documented separately for each embolized vessel and ovarian…G9963Embolization endpoints are not documented separately for each embolized vessel or…G9964Patient received at least one well-child visit with a pcp during the performance periodG9965Patient did not receive at least one well-child visit with a pcp during the performance…G9968Patient was referred to another clinician or specialist during the measurement periodG9969Clinician who referred the patient to another clinician received a report from the…G9970Clinician who referred the patient to another clinician did not receive a report from…G9978Remote in-home visit for the evaluation and management of a new patient for use only in…G9979Remote in-home visit for the evaluation and management of a new patient for use only in…G9980Remote in-home visit for the evaluation and management of a new patient for use only in…G9981Remote in-home visit for the evaluation and management of a new patient for use only in…G9982Remote in-home visit for the evaluation and management of a new patient for use only in…G9983Remote in-home visit for the evaluation and management of an established patient for use…G9984Remote in-home visit for the evaluation and management of an established patient for use…G9985Remote in-home visit for the evaluation and management of an established patient for use…G9986Remote in-home visit for the evaluation and management of an established patient for use…G9987Bundled payments for care improvement advanced (bpci advanced) model home visit for…G9988Palliative care services provided to patient any time during the measurement periodG9992Palliative care services used by patient any time during the measurement periodG9993Patient was provided palliative care services any time during the measurement periodG9994Patient is using palliative care services any time during the measurement periodG9996Documentation stating the patient has received or is currently receiving palliative or…G9997Documentation of patient pregnancy anytime during the measurement period prior to and…G9998Documentation of medical reason(s) for an interval of less than 3 years since the last…G9999Documentation of system reason(s) for an interval of less than 3 years since the last…
Terminated HCPCS G codes
Codes CMS has ended, kept for looking up older claims. Each page gives its last date of service.
Show 735 terminated codes
- G0028
- G0056
- G0071
- G0106
- G0120
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- G0173
- G0202
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- G2012
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- G2058
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- G9751
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- G9892
- G9893
- G9904
- G9907
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- G9921
- G9924
- G9927
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- G9933
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- G9966
- G9967
- G9974
- G9975
- G9989
- G9990
- G9991
- G9995
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This list is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes, imported from CMS’s October 2026 HCPCS file and checked against it.
Frequently asked questions
What are HCPCS G codes?
HCPCS G codes cover temporary codes for professional services and procedures, screening, care management and quality reporting.
How many HCPCS G codes are there?
CMS’s October 2026 HCPCS file lists 1,276 active HCPCS G codes, and 735 more that it has terminated.
Are terminated HCPCS G codes listed?
Yes, after the active codes, each with its last date of service, for looking up older claims. A terminated code can’t be used for newer services.