| G0008 |
Admin influenza virus vac |
| G0009 |
Admin pneumococcal vaccine |
| G0010 |
Admin hepatitis b vaccine |
| G0027 |
Semen analysis |
| G0068 |
Adm of infusion drug in home |
| G0069 |
Adm of immune drug in home |
| G0070 |
Adm of chemo drug in home |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
| G0076 |
Care manag h vst new pt 20 m |
| G0077 |
Care manag h vst new pt 30 m |
| G0078 |
Care manag h vst new pt 45 m |
| G0079 |
Care manag h vst new pt 60 m |
| G0080 |
Care manag h vst new pt 75 m |
| G0081 |
Care man h v ext pt 20 mi |
| G0082 |
Care man h v ext pt 30 m |
| G0083 |
Care man h v ext pt 45 m |
| G0084 |
Care man h v ext pt 60 m |
| G0085 |
Care man h v ext pt 75 m |
| G0086 |
Care man home care plan 30 m |
| G0087 |
Care man home care plan 60 m |
| G0101 |
Ca screen;pelvic/breast exam |
| G0102 |
Prostate ca screening; dre |
| G0103 |
Psa screening |
| G0104 |
Ca screen;flexi sigmoidscope |
| G0105 |
Colorectal scrn; hi risk ind |
| G0106 |
Colon ca screen;barium enema |
| G0108 |
Diab manage trn per indiv |
| G0109 |
Diab manage trn ind/group |
| G0117 |
Glaucoma scrn hgh risk direc |
| G0118 |
Glaucoma scrn hgh risk direc |
| G0120 |
Colon ca scrn; barium enema |
| G0121 |
Colon ca scrn not hi rsk ind |
| G0122 |
Colon ca scrn; barium enema |
| G0123 |
Screen cerv/vag thin layer |
| G0124 |
Screen c/v thin layer by md |
| G0127 |
Trim nail(s) |
| G0128 |
Corf skilled nursing service |
| G0129 |
Partial hosp prog service |
| G0130 |
Single energy x-ray study |
| G0141 |
Scr c/v cyto,autosys and md |
| G0143 |
Scr c/v cyto,thinlayer,rescr |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
| G0147 |
Scr c/v cyto, automated sys |
| G0148 |
Scr c/v cyto, autosys, rescr |
| G0151 |
Hhcp-serv of pt,ea 15 min |
| G0152 |
Hhcp-serv of ot,ea 15 min |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
| G0155 |
Hhcp-svs of csw,ea 15 min |
| G0156 |
Hhcp-svs of aide,ea 15 min |
| G0157 |
Hhc pt assistant ea 15 |
| G0158 |
Hhc ot assistant ea 15 |
| G0159 |
Hhc pt maint ea 15 min |
| G0160 |
Hhc occup therapy ea 15 |
| G0161 |
Hhc slp ea 15 min |
| G0162 |
Hhc rn e&m plan svs, 15 min |
| G0166 |
Extrnl counterpulse, per tx |
| G0168 |
Wound closure by adhesive |
| G0175 |
Opps service,sched team conf |
| G0176 |
Opps/php;activity therapy |
| G0177 |
Opps/php; train & educ serv |
| G0179 |
Md recertification hha pt |
| G0180 |
Md certification hha patient |
| G0181 |
Home health care supervision |
| G0182 |
Hospice care supervision |
| G0186 |
Dstry eye lesn,fdr vssl tech |
| G0219 |
Pet img wholbod melano nonco |
| G0235 |
Pet not otherwise specified |
| G0237 |
Therapeutic procd strg endur |
| G0238 |
Oth resp proc, indiv |
| G0239 |
Oth resp proc, group |
| G0245 |
Initial foot exam pt lops |
| G0246 |
Followup eval of foot pt lop |
| G0247 |
Routine footcare pt w lops |
| G0248 |
Demonstrate use home inr mon |
| G0249 |
Provide inr test mater/equip |
| G0250 |
Md inr test revie inter mgmt |
| G0252 |
Pet imaging initial dx |
| G0255 |
Current percep threshold tst |
| G0257 |
Unsched dialysis esrd pt hos |
| G0259 |
Inject for sacroiliac joint |
| G0260 |
Inj for sacroiliac jt anesth |
| G0268 |
Removal of impacted wax md |
| G0269 |
Occlusive device in vein art |
| G0270 |
Mnt subs tx for change dx |
| G0271 |
Group mnt 2 or more 30 mins |
| G0276 |
Pild/placebo control clin tr |
| G0277 |
Hbot, full body chamber, 30m |
| G0278 |
Iliac art angio,cardiac cath |
| G0279 |
Tomosynthesis, mammo |
| G0281 |
Elec stim unattend for press |
| G0282 |
Elect stim wound care not pd |
| G0283 |
Elec stim other than wound |
| G0288 |
Recon, cta for surg plan |
| G0289 |
Arthro, loose body + chondro |
| G0293 |
Non-cov surg proc,clin trial |
| G0294 |
Non-cov proc, clinical trial |
| G0295 |
Electromagnetic therapy onc |
| G0296 |
Visit to determ ldct elig |
| G0297 |
Ldct for lung ca screen |
| G0299 |
Hhs/hospice of rn ea 15 min |
| G0300 |
Hhs/hospice of lpn ea 15 min |
| G0302 |
Pre-op service lvrs complete |
| G0303 |
Pre-op service lvrs 10-15dos |
| G0304 |
Pre-op service lvrs 1-9 dos |
| G0305 |
Post op service lvrs min 6 |
| G0306 |
Cbc/diffwbc w/o platelet |
| G0307 |
Cbc without platelet |
| G0328 |
Fecal blood scrn immunoassay |
| G0329 |
Electromagntic tx for ulcers |
| G0333 |
Dispense fee initial 30 day |
| G0337 |
Hospice evaluation preelecti |
| G0339 |
Robot lin-radsurg com, first |
| G0340 |
Robt lin-radsurg fractx 2-5 |
| G0341 |
Percutaneous islet celltrans |
| G0342 |
Laparoscopy islet cell trans |
| G0343 |
Laparotomy islet cell transp |
| G0372 |
Md service required for pmd |
| G0378 |
Hospital observation per hr |
| G0379 |
Direct refer hospital observ |
| G0380 |
Lev 1 hosp type b ed visit |
| G0381 |
Lev 2 hosp type b ed visit |
| G0382 |
Lev 3 hosp type b ed visit |
| G0383 |
Lev 4 hosp type b ed visit |
| G0384 |
Lev 5 hosp type b ed visit |
| G0390 |
Trauma respons w/hosp criti |
| G0396 |
Alcohol/subs interv 15-30mn |
| G0397 |
Alcohol/subs interv >30 min |
| G0398 |
Home sleep test/type 2 porta |
| G0399 |
Home sleep test/type 3 porta |
| G0400 |
Home sleep test/type 4 porta |
| G0402 |
Initial preventive exam |
| G0403 |
Ekg for initial prevent exam |
| G0404 |
Ekg tracing for initial prev |
| G0405 |
Ekg interpret & report preve |
| G0406 |
Inpt/tele follow up 15 |
| G0407 |
Inpt/tele follow up 25 |
| G0408 |
Inpt/tele follow up 35 |
| G0409 |
Corf related serv 15 mins ea |
| G0410 |
Grp psych partial hosp 45-50 |
| G0411 |
Inter active grp psych parti |
| G0412 |
Open tx iliac spine uni/bil |
| G0413 |
Pelvic ring fracture uni/bil |
| G0414 |
Pelvic ring fx treat int fix |
| G0415 |
Open tx post pelvic fxcture |
| G0416 |
Prostate biopsy, any mthd |
| G0420 |
Ed svc ckd ind per session |
| G0421 |
Ed svc ckd grp per session |
| G0422 |
Intens cardiac rehab w/exerc |
| G0423 |
Intens cardiac rehab no exer |
| G0424 |
Pulmonary rehab w exer |
| G0425 |
Inpt/ed teleconsult30 |
| G0426 |
Inpt/ed teleconsult50 |
| G0427 |
Inpt/ed teleconsult70 |
| G0428 |
Collagen meniscus implant |
| G0429 |
Dermal filler injection(s) |
| G0432 |
Eia hiv-1/hiv-2 screen |
| G0433 |
Elisa hiv-1/hiv-2 screen |
| G0435 |
Oral hiv-1/hiv-2 screen |
| G0438 |
Ppps, initial visit |
| G0439 |
Ppps, subseq visit |
| G0442 |
Annual alcohol screen 15 min |
| G0443 |
Brief alcohol misuse counsel |
| G0444 |
Depression screen annual |
| G0445 |
High inten beh couns std 30m |
| G0446 |
Intens behave ther cardio dx |
| G0447 |
Behavior counsel obesity 15m |
| G0448 |
Place perm pacing cardiovert |
| G0451 |
Devlopment test interpt&rep |
| G0452 |
Molecular pathology interpr |
| G0453 |
Cont intraop neuro monitor |
| G0454 |
Md document visit by npp |
| G0455 |
Fecal microbiota prep instil |
| G0458 |
Ldr prostate brachy comp rat |
| G0459 |
Telehealth inpt pharm mgmt |
| G0460 |
Autologous prp for ulcers |
| G0463 |
Hospital outpt clinic visit |
| G0466 |
Fqhc visit new patient |
| G0467 |
Fqhc visit, estab pt |
| G0468 |
Fqhc visit, ippe or awv |
| G0469 |
Fqhc visit, mh new pt |
| G0470 |
Fqhc visit, mh estab pt |
| G0471 |
Ven blood coll snf/hha |
| G0472 |
Hep c screen high risk/other |
| G0473 |
Group behave couns 2-10 |
| G0475 |
Hiv combination assay |
| G0476 |
Hpv combo assay ca screen |
| G0480 |
Drug test def 1-7 classes |
| G0481 |
Drug test def 8-14 classes |
| G0482 |
Drug test def 15-21 classes |
| G0483 |
Drug test def 22+ classes |
| G0490 |
Home visit rn, lpn by rhc/fq |
| G0491 |
Dialysis acu kidney no esrd |
| G0492 |
Md/oth eval acut kid no esrd |
| G0493 |
Rn care ea 15 min hh/hospice |
| G0494 |
Lpn care ea 15min hh/hospice |
| G0495 |
Rn care train/edu in hh |
| G0496 |
Lpn care train/edu in hh |
| G0498 |
Chemo extend iv infus w/pump |
| G0499 |
Hepb screen high risk indiv |
| G0500 |
Mod sedat endo service >5yrs |
| G0501 |
Resource-inten svc during ov |
| G0503 |
|
| G0506 |
Comp asses care plan ccm svc |
| G0508 |
Crit care telehea consult 60 |
| G0509 |
Crit care telehea consult 50 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
| G0512 |
Cocm by rhc/fqhc 60 min mo |
| G0513 |
Prolong prev svcs, first 30m |
| G0514 |
Prolong prev svcs, addl 30m |
| G0516 |
Insert drug del implant, >=4 |
| G0517 |
Remove drug implant |
| G0518 |
Remove w insert drug implant |
| G0659 |
Drug test def simple all cl |
| G0913 |
Improve visual funct |
| G0914 |
Survey not complete |
| G0915 |
No improve visual funct |
| G0916 |
Satisfy with care |
| G0917 |
Satisfy survey not complete |
| G0918 |
No satisfy with care |
| G1000 |
Cdsm applied pathways |
| G1001 |
Cdsm evicore |
| G1002 |
Cdsm medcurrent |
| G1003 |
Cdsm medicalis |
| G1004 |
Cdsm ndsc |
| G1005 |
Cdsm nia |
| G1006 |
Cdsm test approp |
| G1007 |
Cdsm aim |
| G1008 |
Cdsm cranberry pk |
| G1009 |
Cdsm sage health |
| G1010 |
Cdsm stanson |
| G1011 |
Cdsm qualified nos |
| G2000 |
Blinded conv. tx mdd clin tr |
| G2001 |
Post d/c h vst new pt 20 m |
| G2002 |
Post-d/c h vst new pt 30 m |
| G2003 |
Post-d/c h vst new pt 45 m |
| G2004 |
Post-d/c h vst new pt 60 m |
| G2005 |
Post-d/c h vst new pt 75 m |
| G2006 |
Post-d/c h vst ext pt 20 m |
| G2007 |
Post-d/c h vst ext pt 30 m |
| G2008 |
Post-d/c h vst ext pt 45 m |
| G2009 |
Post-d/c h vst ext pt 60 m |
| G2010 |
Remot image submit by pt |
| G2011 |
Alcohol/sub abuse assess |
| G2012 |
Brief check in by md/qhp |
| G2013 |
Post-d/c h vst ext pt 75 m |
| G2014 |
Post-d/c care plan overs 30m |
| G2015 |
Post-d/c care plan overs 60m |
| G2021 |
Hea care pract tx in place |
| G2022 |
Benef refuses service, mod |
| G2058 |
Ccm add 20min |
| G2061 |
Qual nonmd est pt 5-10m |
| G2062 |
Qual nonmd est pt 11-20m |
| G2063 |
Qual nonmd est pt 21>min |
| G2064 |
Md mang high risk dx 30 |
| G2065 |
Clin mang h risk dx 30 |
| G2066 |
Inter devc remote 30d |
| G2067 |
Med assist tx meth wk |
| G2068 |
Med assist tx bupre oral |
| G2069 |
Med assist tx inject |
| G2070 |
Med assist tx implant |
| G2071 |
Med tx remove implant |
| G2072 |
Med tx insert/remove imp |
| G2073 |
Med tx naltrexone |
| G2074 |
Med assist tx no drug |
| G2075 |
Med tx meds nos |
| G2076 |
Intake act w/med exam |
| G2077 |
Periodic assessment |
| G2078 |
Take-home meth |
| G2079 |
Take-hom buprenorphine |
| G2080 |
Add 30 mins counsel |
| G2081 |
Pt 66+ snp or ltc pos > 90d |
| G2082 |
Visit esketamine 56m or less |
| G2083 |
Visit esketamine, > 56m |
| G2086 |
Off base opioid tx 70min |
| G2087 |
Off base opioid tx, 60 m |
| G2088 |
Off base opioid tx, add30 |
| G2089 |
A1c level 7 to 9% |
| G2090 |
Pt 66+ frailty and med dem |
| G2091 |
Pt 66+ frailty and adv ill |
| G2092 |
Ace arb arni |
| G2093 |
Med doc rsn no ace arn arni |
| G2094 |
Pt rsn no ace arn arni |
| G2095 |
Sys rsn no ace arn arni |
| G2096 |
No rsn ace arb arni |
| G2097 |
Child dx uri 3d of other dx |
| G2098 |
Pt 66+ frailty and med dem |
| G2099 |
Pt 66+ frailty and adv ill |
| G2100 |
Pt 66+ frailty and med dem |
| G2101 |
Pt 66+ frailty and adv ill |
| G2102 |
Dil retinal eye exam |
| G2103 |
7 stereo photos interpret |
| G2104 |
Eye img valid w/7 stereo |
| G2105 |
Pt 66+ lt ints > 90 |
| G2106 |
Pt 66+ lt ints > 90 |
| G2107 |
Pt 66+ frailty and adv ill |
| G2108 |
Pt 66+ lt ints > 90 |
| G2109 |
Pt 66+ frailty and med dem |
| G2110 |
Pt 66+ frailty and adv ill |
| G2112 |
Pred<=5 mg ra glu <6m |
| G2113 |
Pred>5 mg >6m, no chg da |
| G2114 |
Pt 66-80 frailty and med dem |
| G2115 |
Pt 66+ frailty and med dem |
| G2116 |
Pt 66+ frailty and adv ill |
| G2117 |
Pt 66-80 frailty and adv ill |
| G2118 |
Pt 81+ frailty |
| G2119 |
Calc vitd opt |
| G2120 |
No calc vitd opt |
| G2121 |
Psy dep anx ap and icd asse |
| G2122 |
Psy/dep/anx/apandicd noasse |
| G2123 |
Pt 66-80 frailty med dem |
| G2124 |
Pt 66-80 frailty adv ill |
| G2125 |
Pt 81+ frailty |
| G2126 |
Pt 66+ frailty adv ill |
| G2127 |
Pt 66+ frailty med dem |
| G2128 |
No aspirin med rsn |
| G2129 |
No bp outpt |
| G2130 |
Pt 66+ lt inst > 90 |
| G2131 |
Pt 81+ frailty |
| G2132 |
Pt 66-80 frailty and med dem |
| G2133 |
Pt 66-80 frailty and adv ill |
| G2134 |
Pt 66+ frailty and med dem |
| G2135 |
Pt 66+ frailty and adv ill |
| G2136 |
Bk pain vas 6-20wk = 3 |
| G2137 |
Bk pain vas 6-20wk > 3 |
| G2138 |
Bk pain vas 9-15mo = 3 |
| G2139 |
Bk pain vas 9-20mo > 3 |
| G2140 |
Leg pain vas 6-20wk = 3 |
| G2141 |
Leg pain vas 6-20wk > 3 |
| G2142 |
Fs odi 9-15mo postop<= 22 |
| G2143 |
Fs odi 9-15mo > 22 |
| G2144 |
Fs odi 6-20wk postop > 22 |
| G2145 |
Fsodi 6-20wk >22 or chg 30pt |
| G2146 |
Leg pain vas 9-15mo <= 3 |
| G2147 |
Leg pain vas 9-15mo > 3 |
| G2148 |
Mpm used |
| G2149 |
No mpm med rsn |
| G2150 |
No mpm |
| G2151 |
Dx degen neuro |
| G2152 |
Res change sc =0 |
| G2153 |
Hosp dur meas pd |
| G2154 |
Td 9 yrs start end meas |
| G2155 |
Hist contraindications |
| G2156 |
No prior td or hx contra |
| G2157 |
Pneum vacc 12 mo 60+ |
| G2158 |
Pneum vacc adv rx |
| G2159 |
No pneum vacc 12 mo 60+ |
| G2160 |
Herpzos 50+ |
| G2161 |
Adv rx zos |
| G2162 |
No herpzos 50+ |
| G2163 |
Infl vacc 07/01 to 06/30 |
| G2164 |
Adv rx infl vacc |
| G2165 |
No infl vacc 07/01 to 06/30 |
| G2166 |
No pt adm dx no neck fs prom |
| G2167 |
Res change sc < 0 |
| G6001 |
Echo guidance radiotherapy |
| G6002 |
Stereoscopic x-ray guidance |
| G6003 |
Radiation treatment delivery |
| G6004 |
Radiation treatment delivery |
| G6005 |
Radiation treatment delivery |
| G6006 |
Radiation treatment delivery |
| G6007 |
Radiation treatment delivery |
| G6008 |
Radiation treatment delivery |
| G6009 |
Radiation treatment delivery |
| G6010 |
Radiation treatment delivery |
| G6011 |
Radiation treatment delivery |
| G6012 |
Radiation treatment delivery |
| G6013 |
Radiation treatment delivery |
| G6014 |
Radiation treatment delivery |
| G6015 |
Radiation tx delivery imrt |
| G6016 |
Delivery comp imrt |
| G6017 |
Intrafraction track motion |
| G8395 |
Lvef>=40% doc normal or mild |
| G8396 |
Lvef not performed |
| G8397 |
Dil macula/fundus exam/w doc |
| G8398 |
Dil macular/fundus not perfo |
| G8399 |
Pt w/dxa results document |
| G8400 |
Pt w/dxa no results doc |
| G8404 |
Low extemity neur exam docum |
| G8405 |
Low extemity neur not perfor |
| G8410 |
Eval on foot documented |
| G8415 |
Eval on foot not performed |
| G8416 |
Pt inelig footwear evaluatio |
| G8417 |
Calc bmi abv up param f/u |
| G8418 |
Calc bmi blw low param f/u |
| G8419 |
Calc bmi out nrm param nof/u |
| G8420 |
Calc bmi norm parameters |
| G8421 |
Bmi not calculated |
| G8422 |
Pt inelig bmi calculation |
| G8427 |
Docrev cur meds by elig clin |
| G8428 |
Cur meds not document |
| G8430 |
Ec at doc medrec pt not elig |
| G8431 |
Pos clin depres scrn f/u doc |
| G8432 |
Dep scr not doc, rng |
| G8433 |
Scr for dep not cpt doc rsn |
| G8442 |
Doc pain as nt perf, not elg |
| G8450 |
Beta-bloc rx pt w/abn lvef |
| G8451 |
Pt w/abn lvef inelig b-bloc |
| G8452 |
Pt w/abn lvef b-bloc no rx |
| G8465 |
High risk recurrence pro ca |
| G8473 |
Ace/arb thxpy rx'd |
| G8474 |
Ace/arb not rx'd; doc reas |
| G8475 |
Ace/arb thxpy not rx'd |
| G8476 |
Bp sys <140 and dias <90 |
| G8477 |
Bp sys>=140 and/or dias >=90 |
| G8478 |
Bp not performed/doc |
| G8482 |
Flu immunize order/admin |
| G8483 |
Flu imm no admin doc rea |
| G8484 |
Flu immunize no admin |
| G8506 |
Pt rec ace/arb |
| G8509 |
Pos pain assess no f/u doc |
| G8510 |
Scr dep neg, no plan reqd |
| G8511 |
Scr dep pos, no plan doc rng |
| G8535 |
Eld maltreatment not doc |
| G8536 |
No doc elder mal scrn |
| G8539 |
Doc funct and care plan |
| G8540 |
Foa not doc as being perf |
| G8541 |
No doc cur funct assess |
| G8542 |
Doc funct no deficiencies |
| G8543 |
Cur funct asses; no care pln |
| G8559 |
Pt ref doc oto eval |
| G8560 |
Pt hx act drain prev 90 days |
| G8561 |
Pt inelig for ref oto eval |
| G8562 |
Pt no hx act drain 90 d |
| G8563 |
Pt no ref oto reas no spec |
| G8564 |
Pt ref oto eval |
| G8565 |
Ver doc hear loss |
| G8566 |
Pt inelig ref oto eval |
| G8567 |
Pt no doc hear loss |
| G8568 |
Pt no ref otolo no spec |
| G8569 |
Prol intubation req |
| G8570 |
No prol intub req |
| G8571 |
Ster wd ifx 30 d postop |
| G8572 |
No ster wd ifx |
| G8573 |
Stk cabg |
| G8574 |
No strk cabg |
| G8575 |
Postop ren fail |
| G8576 |
No postop ren fail |
| G8577 |
Reop req bld grft oth |
| G8578 |
No reop req bld grft oth |
| G8598 |
Asa/antiplat ther used |
| G8599 |
No asa/antiplat ther use rng |
| G8600 |
Tpa initi w/in 3 hrs |
| G8601 |
No elig tpa init w/in 3 hrs |
| G8602 |
No tpa init w/in 3 hrs |
| G8627 |
Surg proc w/in 30 days |
| G8628 |
No surg proc w/in 30 days |
| G8633 |
Pharm ther osteo rx |
| G8635 |
No pharm ther osteo rx |
| G8647 |
Rafscrs ki scor >= 0 |
| G8648 |
Rafscrs ki scor < 0 |
| G8650 |
Rafs crs ki no scor no surv |
| G8651 |
Rafscrs hi scor >=0 |
| G8652 |
Rafscrs hi scor < 0 |
| G8654 |
Rafs crs hi no scor no surv |
| G8655 |
Rafscrs llfai scor >= 0 |
| G8656 |
Rafscrs llfai scor < 0 |
| G8658 |
Rafscrs llfai no scor + surv |
| G8659 |
Rafscrs lbi scor >= 0 |
| G8660 |
Rafscrs lbi scor < 0 |
| G8661 |
Rafscrs lbi no scor |
| G8662 |
Rafs crs lbi no scor no surv |
| G8663 |
Rafscrs si scor >= 0 |
| G8664 |
Rafscrs si scor < 0 |
| G8666 |
Rafs crs si no scor no surv |
| G8667 |
Rafscrs ewh scor >= 0 |
| G8668 |
Rafscrs ewh scor < 0 |
| G8670 |
Rafs crs ewh no scor no surv |
| G8671 |
Rafscrs goi scor >= 0 |
| G8672 |
Rafscrs goi scor < 0 |
| G8674 |
Rafscrs neck, no msr/no foto |
| G8694 |
Lvef <40% |
| G8708 |
Antibiotic not pres |
| G8709 |
Pt presc doc med rsn id uri |
| G8710 |
Pt pres antibiotic |
| G8711 |
Pres antibiotic |
| G8712 |
Not pres antibiotic |
| G8721 |
Pt, pn, hist grade doc |
| G8722 |
Med reas pt, pn, not doc |
| G8723 |
Spec sit not prim tumor |
| G8724 |
Pt, pn, hist grade not doc |
| G8730 |
Pain doc pos and plan |
| G8731 |
Pain neg no plan |
| G8732 |
No doc of pain |
| G8733 |
Doc pos elder mal scrn plan |
| G8734 |
Doc neg elder mal no plan |
| G8735 |
Eld mal scrn pos no plan |
| G8749 |
No signs melanoma |
| G8752 |
Sys bp less 140 |
| G8753 |
Sys bp > or = 140 |
| G8754 |
Dias bp less 90 |
| G8755 |
Dias bp > or = 90 |
| G8756 |
No bp measure doc |
| G8783 |
Bp scrn perf rec interval |
| G8785 |
Bp scrn no perf at interval |
| G8797 |
Specimen site not esophagus |
| G8798 |
Specimen site not prostate |
| G8806 |
Perf ultrsnd to lct preg doc |
| G8807 |
No ta tv ultrasnd |
| G8808 |
Ultrasound not perf, rng |
| G8809 |
Rh-immunoglobulin order |
| G8810 |
Doc reas no rh-immuno |
| G8811 |
No rh-immunoglobulin order |
| G8815 |
Doc reas no statin therapy |
| G8816 |
Statin med pres at disch |
| G8817 |
Doc reas no statin med disch |
| G8818 |
Pt disch to home by day#7 |
| G8825 |
Pt not disch to home day#7 |
| G8826 |
Pt disch home day #2 evar |
| G8833 |
Pt not disch home day#2 evar |
| G8834 |
Pt disch home day #2 cea |
| G8838 |
Not disch home by day #2 |
| G8839 |
Sleep apnea assess |
| G8840 |
Doc reas no sleep apnea |
| G8841 |
No sleep apnea assess |
| G8842 |
Ahi or rdi initial dx |
| G8843 |
Doc reas no ahi or rdi |
| G8844 |
No ahi or rdi initial dx |
| G8845 |
Pos airway press prescribed |
| G8846 |
Mod or severe osa |
| G8849 |
Doc reas no pos air press |
| G8850 |
No pap prescribed |
| G8851 |
Adhere pos air press therapy |
| G8852 |
Pos air press prescribe |
| G8854 |
Reas no adhere pos air pres |
| G8855 |
Pos air press adhere no perf |
| G8856 |
Ref for oto eval |
| G8857 |
No elig ref for oto eval |
| G8858 |
Not ref for oto eval |
| G8863 |
No assess bone loss |
| G8864 |
Pneumococcal vaccine admin |
| G8865 |
Doc med reas no pneumococcal |
| G8866 |
Doc pt reas no pneumococcal |
| G8867 |
No pneumococcal admin |
| G8869 |
Doc immune hep b antitnf |
| G8872 |
Intraop image confirm excise |
| G8873 |
Specimen not intraop image |
| G8874 |
Tissue not image intraop |
| G8875 |
Breast cancer dx min invsive |
| G8876 |
Doc reas no min inv dx |
| G8877 |
No brst cncr dx min invasive |
| G8878 |
Sent lymph node biopsy |
| G8880 |
Sen lym p node biop not perf |
| G8881 |
Brst cncr stage > t1n0m0 |
| G8882 |
No sent lymph node biopsy |
| G8883 |
Rev, comm, track, doc biopsy |
| G8884 |
Doc reas biopsy not review |
| G8885 |
No rev, comm, track biopsy |
| G8907 |
Pt doc no events on discharg |
| G8908 |
Pt doc w burn prior to d/c |
| G8909 |
Pt doc no burn prior to d/c |
| G8910 |
Pt doc to have fall in asc |
| G8911 |
Pt doc no fall in asc |
| G8912 |
Pt doc with wrong event |
| G8913 |
Pt doc no wrong event |
| G8914 |
Pt trans to hosp post d/c |
| G8915 |
Pt not trans to hosp at d/c |
| G8916 |
Pt w iv ab given on time |
| G8917 |
Pt w iv ab not given on time |
| G8918 |
Pt w/o preop order iv ab pro |
| G8923 |
Lvef < 40% or lvsd |
| G8924 |
Spir fev1/fvc<70%,fev<60% |
| G8925 |
Spir fev1/fvc>=60% & no copd |
| G8926 |
Spiro no perf or doc |
| G8934 |
Lvef <40% or dep lv sys fcn |
| G8935 |
Rx ace or arb therapy |
| G8936 |
Pt not eligible ace/arb |
| G8937 |
No rx ace/arb therapy |
| G8938 |
Bmi doc onl fup nt doc |
| G8939 |
Pain as doc positive, no f/u |
| G8941 |
Eld maltreatment doc as pos |
| G8942 |
Doc fcn/care plan w/30 days |
| G8944 |
Ajcc mel cnr stg 0 - iic |
| G8946 |
Mibm but no dx of breast ca |
| G8950 |
Pre-htn or htn doc, f/u indc |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
| G8955 |
Most recent assess vol mgmt |
| G8956 |
Pt rcv hedia outpt dyls fac |
| G8958 |
Assess vol mgmt not doc |
| G8959 |
Clin tx mdd comm to tx clin |
| G8960 |
Clin tx mdd not comm |
| G8961 |
Csit lowrisk surg pts preop |
| G8962 |
Csit on pt any reas 30 days |
| G8963 |
Csi per asx pt w/pci 2 yrs |
| G8964 |
Csi any other than pci 2 yr |
| G8965 |
Csit perf on low chd rsk |
| G8966 |
Csit perf sx or high chd rsk |
| G8967 |
Warf or other fda drug presc |
| G8968 |
Doc med not presb |
| G8969 |
Doc pt rsn no presc warf/fda |
| G8970 |
No rsk fac or 1 mod risk te |
| G8973 |
Mst rcnt hbb < 10g/dl |
| G8974 |
Hgb not doc rns not gvn |
| G8975 |
Hgb <10g/dl, med rsn |
| G8976 |
Hgb >= 10 g/dl |
| G9001 |
Mccd, initial rate |
| G9002 |
Mccd,maintenance rate |
| G9003 |
Mccd, risk adj hi, initial |
| G9004 |
Mccd, risk adj lo, initial |
| G9005 |
Mccd, risk adj, maintenance |
| G9006 |
Mccd, home monitoring |
| G9007 |
Mccd, sch team conf |
| G9008 |
Mccd,phys coor-care ovrsght |
| G9009 |
Mccd, risk adj, level 3 |
| G9010 |
Mccd, risk adj, level 4 |
| G9011 |
Mccd, risk adj, level 5 |
| G9012 |
Other specified case mgmt |
| G9013 |
Esrd demo bundle level i |
| G9014 |
Esrd demo bundle-level ii |
| G9016 |
Demo-smoking cessation coun |
| G9050 |
Oncology work-up evaluation |
| G9051 |
Oncology tx decision-mgmt |
| G9052 |
Onc surveillance for disease |
| G9053 |
Onc expectant management pt |
| G9054 |
Onc supervision palliative |
| G9055 |
Onc visit unspecified nos |
| G9056 |
Onc prac mgmt adheres guide |
| G9057 |
Onc pract mgmt differs trial |
| G9058 |
Onc prac mgmt disagree w/gui |
| G9059 |
Onc prac mgmt pt opt alterna |
| G9060 |
Onc prac mgmt dif pt comorb |
| G9061 |
Onc prac cond noadd by guide |
| G9062 |
Onc prac guide differs nos |
| G9063 |
Onc dx nsclc stgi no progres |
| G9064 |
Onc dx nsclc stg2 no progres |
| G9065 |
Onc dx nsclc stg3a no progre |
| G9066 |
Onc dx nsclc stg3b-4 metasta |
| G9067 |
Onc dx nsclc dx unknown nos |
| G9068 |
Onc dx sclc/nsclc limited |
| G9069 |
Onc dx sclc/nsclc ext at dx |
| G9070 |
Onc dx sclc/nsclc ext unknwn |
| G9071 |
Onc dx brst stg1-2b hr,nopro |
| G9072 |
Onc dx brst stg1-2 noprogres |
| G9073 |
Onc dx brst stg3-hr, no pro |
| G9074 |
Onc dx brst stg3-noprogress |
| G9075 |
Onc dx brst metastic/ recur |
| G9077 |
Onc dx prostate t1no progres |
| G9078 |
Onc dx prostate t2no progres |
| G9079 |
Onc dx prostate t3b-t4noprog |
| G9080 |
Onc dx prostate w/rise psa |
| G9083 |
Onc dx prostate unknwn nos |
| G9084 |
Onc dx colon t1-3,n1-2,no pr |
| G9085 |
Onc dx colon t4, n0 w/o prog |
| G9086 |
Onc dx colon t1-4 no dx prog |
| G9087 |
Onc dx colon metas evid dx |
| G9088 |
Onc dx colon metas noevid dx |
| G9089 |
Onc dx colon extent unknown |
| G9090 |
Onc dx rectal t1-2 no progr |
| G9091 |
Onc dx rectal t3 n0 no prog |
| G9092 |
Onc dx rectal t1-3,n1-2noprg |
| G9093 |
Onc dx rectal t4,n,m0 no prg |
| G9094 |
Onc dx rectal m1 w/mets prog |
| G9095 |
Onc dx rectal extent unknwn |
| G9096 |
Onc dx esophag t1-t3 noprog |
| G9097 |
Onc dx esophageal t4 no prog |
| G9098 |
Onc dx esophageal mets recur |
| G9099 |
Onc dx esophageal unknown |
| G9100 |
Onc dx gastric no recurrence |
| G9101 |
Onc dx gastric p r1-r2noprog |
| G9102 |
Onc dx gastric unresectable |
| G9103 |
Onc dx gastric recurrent |
| G9104 |
Onc dx gastric unknown nos |
| G9105 |
Onc dx pancreatc p r0 res no |
| G9106 |
Onc dx pancreatc p r1/r2 no |
| G9107 |
Onc dx pancreatic unresectab |
| G9108 |
Onc dx pancreatic unknwn nos |
| G9109 |
Onc dx head/neck t1-t2no prg |
| G9110 |
Onc dx head/neck t3-4 noprog |
| G9111 |
Onc dx head/neck m1 mets rec |
| G9112 |
Onc dx head/neck ext unknown |
| G9113 |
Onc dx ovarian stg1a-b no pr |
| G9114 |
Onc dx ovarian stg1a-b or 2 |
| G9115 |
Onc dx ovarian stg3/4 noprog |
| G9116 |
Onc dx ovarian recurrence |
| G9117 |
Onc dx ovarian unknown nos |
| G9123 |
Onc dx cml chronic phase |
| G9124 |
Onc dx cml acceler phase |
| G9125 |
Onc dx cml blast phase |
| G9126 |
Onc dx cml remission |
| G9128 |
Onc dx multi myeloma stage i |
| G9129 |
Onc dx mult myeloma stg2 hig |
| G9130 |
Onc dx multi myeloma unknown |
| G9131 |
Onc dx brst unknown nos |
| G9132 |
Onc dx prostate mets no cast |
| G9133 |
Onc dx prostate clinical met |
| G9134 |
Onc nhlstg 1-2 no relap no |
| G9135 |
Onc dx nhl stg 3-4 not relap |
| G9136 |
Onc dx nhl trans to lg bcell |
| G9137 |
Onc dx nhl relapse/refractor |
| G9138 |
Onc dx nhl stg unknown |
| G9139 |
Onc dx cml dx status unknown |
| G9140 |
Frontier extended stay demo |
| G9143 |
Warfarin respon genetic test |
| G9147 |
Outpt iv insulin tx any mea |
| G9148 |
Medical home level 1 |
| G9149 |
Medical home level ii |
| G9150 |
Medical home level iii |
| G9151 |
Mapcp demo state |
| G9152 |
Mapcp demo community |
| G9153 |
Mapcp demo physician |
| G9156 |
Evaluation for wheelchair |
| G9157 |
Transesoph doppl cardiac mon |
| G9187 |
Bpci home visit |
| G9188 |
Beta not given no reason |
| G9189 |
Beta pres or already taking |
| G9190 |
Medical reason for no beta |
| G9191 |
Pt reason for no beta |
| G9192 |
System reason for no beta |
| G9196 |
Med reason for no ceph |
| G9197 |
Order for ceph |
| G9198 |
No order for ceph no reason |
| G9212 |
Doc of dsm-iv init eval |
| G9213 |
No doc of dsm-iv |
| G9223 |
Pjp proph ordered cd4 low |
| G9225 |
Norsn no foot exam |
| G9226 |
3 comp foot exam completed |
| G9227 |
Foa doc, care plan not doc |
| G9228 |
Gc chl syp documented |
| G9229 |
Ptrsn no gc chl syp test |
| G9230 |
Norsn for gc chl syp test |
| G9231 |
Doc esrd dia trans preg |
| G9232 |
Ptrsn no comm comorbid |
| G9239 |
Doc rsn hemod & cath acc |
| G9240 |
Doc pt w cath maint dia |
| G9241 |
Doc pt w out cath maint dia |
| G9242 |
Doc viral load >=200 |
| G9243 |
Doc viral load <200 |
| G9246 |
No med visit in 24mo |
| G9247 |
1 med visit in 24mo |
| G9250 |
Doc of pain comfort 48hr |
| G9251 |
Doc no pain comfort 48hr |
| G9254 |
Doc pt dischg >2d |
| G9255 |
Doc pt dischg <=2d |
| G9256 |
Doc of pat death after cas |
| G9257 |
Doc of pat stroke after cas |
| G9258 |
Doc of pat stroke after cea |
| G9259 |
Survive/no stroke post cas |
| G9260 |
Doc of pat death after cea |
| G9261 |
Survive/no stroke post cea |
| G9262 |
Doc of death post-aaa repair |
| G9263 |
Doc of disch post-aaa repair |
| G9264 |
Doc rsn hemod w/cath >=90d |
| G9265 |
Doc cath >90d for maint dia |
| G9266 |
Norsn pt cath >=90d |
| G9267 |
Doc comp or mort w in 30d |
| G9268 |
Doc comp or mort w in 90d |
| G9269 |
Doc no comp or mort w in 30d |
| G9270 |
Doc no comp or mort w in 90d |
| G9273 |
Sys<140 and dia<90 |
| G9274 |
Bp out of nrml limits |
| G9275 |
Doc of non tobacco user |
| G9276 |
Doc of tobacco user |
| G9277 |
Doc daily aspirin or contra |
| G9278 |
Doc no daily aspirin |
| G9279 |
Pne scrn done doc vac done |
| G9280 |
Pne not given norsn |
| G9281 |
Pne scrn done doc not ind |
| G9282 |
Doc medrsn no histo type |
| G9283 |
Hist type doc on report |
| G9284 |
No hist type doc on report |
| G9285 |
Site not small cell lung ca |
| G9286 |
Antibio rx w in 10d of sympt |
| G9287 |
No antibio w in 10d of sympt |
| G9288 |
Doc medrsn no hist type rpt |
| G9289 |
Doc type nsm lung ca |
| G9290 |
No doc type nsm lung ca |
| G9291 |
Not nsm lung ca |
| G9292 |
Medrsn no pt category |
| G9293 |
No pt category on report |
| G9294 |
Pt cat and thck on report |
| G9295 |
Non cutaneous loc |
| G9296 |
Doc share dec prior proc |
| G9297 |
No doc share dec prior proc |
| G9298 |
Eval risk vte card 30d prior |
| G9299 |
No eval riskk vte card prior |
| G9300 |
Doc medrsn no compl antibio |
| G9301 |
Doc compl inf antibio |
| G9302 |
Norsn incomp inf antibio |
| G9303 |
Norsn no pros info op rpt |
| G9304 |
Pros info op rpt |
| G9305 |
No interv req for leak |
| G9306 |
Interv req for leak |
| G9307 |
No ret for surg w in 30d |
| G9308 |
Unpl ret or w/compl w/in 30d |
| G9309 |
No unplnd hosp readm in 30d |
| G9310 |
Unplnd hosp readm in 30d |
| G9311 |
No surg site infection |
| G9312 |
Surgical site infection |
| G9313 |
Amoxic not presc as 1st line |
| G9314 |
Norsn not first line amox |
| G9315 |
Doc first line amox |
| G9316 |
Doc comm risk calc |
| G9317 |
No doc comm risk calc |
| G9318 |
Image std nomenclature |
| G9319 |
Image not std nomenclature |
| G9321 |
Doc count of ct in 12mo |
| G9322 |
No doc count of ct in 12mo |
| G9326 |
Ct done no rad ds index, nrg |
| G9327 |
Ct done rad ds index |
| G9329 |
Norsn no dicom format doc |
| G9340 |
Dicom format doc on rpt |
| G9341 |
Srch for ct w in 12 mos |
| G9342 |
No srch for ct in 12mo norsn |
| G9344 |
Sysrsn no dicom srch |
| G9345 |
Follow up pulm nod |
| G9347 |
No follow up pulm nod norsn |
| G9348 |
Doc rsn for ord ct scan |
| G9349 |
Ct within 28 days |
| G9350 |
No doc sinus ct 28d or dx |
| G9351 |
Doc >1 sinus ct w 90d dx |
| G9352 |
Not >1 sinus ct w 90d dx |
| G9353 |
Medrsn >1 sinus ct w 90d dx |
| G9354 |
1 or no ct sinus w/in 90d dx |
| G9355 |
No early ind/delivery |
| G9356 |
Early ind/delivery |
| G9357 |
Pp eval/edu perf |
| G9358 |
Pp eval/edu not perf |
| G9359 |
Neg mgd pos tb notact |
| G9360 |
No doc of neg or man pos tb |
| G9361 |
Doc rsn elect c-sec/induct |
| G9364 |
Sinus caus bac inx |
| G9365 |
1high risk med ord |
| G9366 |
1high risk no ord |
| G9367 |
>= 2 same hi-rsk med ord |
| G9368 |
>= 2 same hi-rsk med not ord |
| G9380 |
Off assis eol iss |
| G9382 |
No off assis eol |
| G9383 |
Recd scrn hcv infec |
| G9384 |
Doc med rsn no hcv scrn |
| G9385 |
Doc pt reas not rec hcv srn |
| G9386 |
Scrn hcv infec not recd |
| G9389 |
Unpln rup post cap |
| G9390 |
No unpln rup post cap |
| G9393 |
Ini phq9 >9 remiss <5 |
| G9394 |
Dx bipol, death, nhres, hosp |
| G9395 |
Ini phq9 >9 no remiss >=5 |
| G9396 |
Ini phq9 >9 not assess |
| G9399 |
Doc disc tx choices |
| G9400 |
Doc reas no disc tx opt |
| G9401 |
No disc tx choices |
| G9402 |
Recd f/u w/in 30d disch |
| G9403 |
Doc reas no 30 day f/u |
| G9404 |
No 30 day f/u |
| G9405 |
Recd f/u w/in 7d dc |
| G9406 |
Doc reas no 7d f/u |
| G9407 |
No 7d f/u |
| G9408 |
Card tamp w/in 30d |
| G9409 |
No card tamp e/in 30d |
| G9410 |
Admit w/in 180d req remov |
| G9411 |
No admit w/in 180d req remov |
| G9412 |
Admit w/in 180d req surg rev |
| G9413 |
No admit req surg rev |
| G9414 |
1dose menig vac btwn 11 & 13 |
| G9415 |
No 1dose meni vac btwn 11&13 |
| G9416 |
Pt 1 tdap betw 10-13 yrs |
| G9417 |
Pt not 1 tdap betw 10-13 yrs |
| G9418 |
Lungcx bx rpt docs class |
| G9419 |
Med reas not incl histo type |
| G9420 |
Spec site no lung |
| G9421 |
Lung cx bx rpt no doc class |
| G9422 |
Rpt doc class histo type |
| G9423 |
Med reas rpt no histo type |
| G9424 |
Site no lung or lung cx |
| G9425 |
Spec rpt no doc class histo |
| G9426 |
Impr med time edarr pain med |
| G9427 |
No impro med time pain med |
| G9428 |
Patho rpt incl pt ctg |
| G9429 |
Doc med rsn no pt cat |
| G9430 |
Spec site no cutaneous |
| G9431 |
Patho rpt no pt ctg |
| G9432 |
Asth controlled |
| G9434 |
Asth not controlled |
| G9448 |
Born 1945-1965 |
| G9449 |
Hx bld transf b/f 1992 |
| G9450 |
Hx injec drug use |
| G9451 |
1x scrn hcv infect |
| G9452 |
Doc med reas no scrn hcv |
| G9453 |
Pt reas no hcv infect |
| G9454 |
No scr hcv inf 12 mth rp |
| G9455 |
Abd imag w/us, ct or mri |
| G9456 |
Doc med pt reas no hcc scrn |
| G9457 |
Pt no abd img no doc rsn |
| G9458 |
Tob user recd cess interv |
| G9459 |
Tob non-user |
| G9460 |
No tob assess or cess inter |
| G9468 |
No recd cortico>=10mg/d >60d |
| G9469 |
Rec cortico>90d or 1rx 900mg |
| G9470 |
No rec cortico>60d 1rx 600mg |
| G9471 |
W/in 2yr dxa not order |
| G9473 |
Chap services at hospice |
| G9474 |
Diet counsel at hospice |
| G9475 |
Other counselor at hospice |
| G9476 |
Volun service at hospice |
| G9477 |
Care coord at hospice |
| G9478 |
Othe therapist at hospice |
| G9479 |
Pharmacist at hospice |
| G9480 |
Admission to mccm |
| G9481 |
Remote e/m new pt 10mins |
| G9482 |
Remote e/m new pt 20mins |
| G9483 |
Remote e/m new pt 30mins |
| G9484 |
Remote e/m new pt 45mins |
| G9485 |
Remote e/m new pt 60mins |
| G9486 |
Remote e/m est. pt 10mins |
| G9487 |
Remote e/m est. pt 15mins |
| G9488 |
Remote e/m est. pt 25mins |
| G9489 |
Remote e/m est. pt 40mins |
| G9490 |
Cmmi mod home visit |
| G9497 |
Rec inst no smoke day surg |
| G9498 |
Abx reg prescribed |
| G9500 |
Rad expos ind/exp tm doc |
| G9501 |
Rad expos ind/exp tm no doc |
| G9502 |
Med reas no perf foot exam |
| G9503 |
Pt tk tams hcl |
| G9504 |
Doc rsn hep b stat not asses |
| G9505 |
Abx pres w/in 10 dys of symp |
| G9506 |
Bio imm resp mod presc |
| G9507 |
Doc reas on statin or contra |
| G9508 |
Doc pt not on statin |
| G9509 |
Adit mdd dys rem 12 mnths |
| G9510 |
Remis12m not phq-9 score <5 |
| G9511 |
Idx evt dte phq>9 doc 12 mo |
| G9512 |
Indiv pdc > 0.8 |
| G9513 |
Indiv pdc not > 0.8 |
| G9514 |
Req ret or w/in 90d of surg |
| G9515 |
No reas, no ret or w/in 90d |
| G9516 |
Impr vis acuit w/in 90d |
| G9517 |
No impr vis acuit w/in 90d |
| G9518 |
Doc active inj drug use |
| G9519 |
Final ref +/- 1.0 w/in 90d |
| G9520 |
Refract not +/- 1.0 w/in 90d |
| G9521 |
Er and ip hosp <2 in 12 mos |
| G9522 |
Er/ip hosp =/>2 in 12 mos |
| G9523 |
D/c hemo or perit dialysis |
| G9524 |
Refer to hospice |
| G9525 |
Doc pt reas no hospice refer |
| G9526 |
No reason, no refer hospice |
| G9529 |
Minor blunt trauma w/head ct |
| G9530 |
Pt mbht hd ct ord ec prov |
| G9531 |
Pt doc |
| G9532 |
Pt hd ct ord |
| G9533 |
Indic for head ct not valid |
| G9537 |
Doc sysm rsn img hd |
| G9539 |
Intent pot remv time placemt |
| G9540 |
Pt alive 3 mos post proc |
| G9541 |
Filter rem 3 mon plmt |
| G9542 |
Doc reass appr remo filt 3ms |
| G9543 |
Doc 2x re-assess filt remov |
| G9544 |
No filt remov w/in 3mos plcm |
| G9547 |
Cys ren les or adren |
| G9548 |
No f/u rec image study |
| G9549 |
Doc med rsn for f/u imag |
| G9550 |
Imag rec |
| G9551 |
Imag no les |
| G9552 |
Inc thyr node <1.0 in rpt |
| G9553 |
Prior thyroid dise dx |
| G9554 |
Ct/cta/mri/a chst foll rec |
| G9555 |
Doc med rsn for follup image |
| G9556 |
Ct/cta/mri/a no follup imag |
| G9557 |
Ct/cta/mri/a no thyr <1.0cm |
| G9558 |
Tx beta-lactam abx therapy |
| G9559 |
Doc med reas no abx therapy |
| G9560 |
No beta-lactam abx ther, rng |
| G9561 |
Presc opiates >6 wks |
| G9562 |
Foll-up eval q3mo opiod tx |
| G9563 |
No f/u eval q3mo opiod tx |
| G9573 |
Adl pt md or dys rem 6 mon |
| G9574 |
Adl pt md dys no rem 6 mon |
| G9577 |
Presc opiates >6 wks |
| G9578 |
Doc opioid tx 1x during ther |
| G9579 |
No doc opioid tx 1x at ther |
| G9580 |
Door to punc time <2hrs |
| G9582 |
Door to punc time >2hr, nrg |
| G9583 |
Presc opiates >6 wks |
| G9584 |
Eval opioid use instr/pt int |
| G9585 |
No eval opi use instr/intv |
| G9593 |
Low pecarn ped head trauma |
| G9594 |
Pt mbht hd ct ord ec prov |
| G9595 |
Doc shnt/tum/coag |
| G9596 |
Ped pt hd ct ord |
| G9597 |
No low pecarn ped head traum |
| G9598 |
Aor ane 5.5-5.9 cm max diam |
| G9599 |
Aor ane >=6.0 cm max diam |
| G9600 |
Symp aaa urgent repair |
| G9601 |
Pt dchg home post op day 7 |
| G9602 |
Pt no dchg home postop day 7 |
| G9603 |
Pt surv improv bsline tx |
| G9604 |
Pt surv results not avail |
| G9605 |
Surv score no improv w/tx |
| G9606 |
Intraop cyst eval trac inj |
| G9607 |
Doc med rsn not perf cystosc |
| G9608 |
Intraop cyst eval not done |
| G9609 |
Doc order anti-plat |
| G9610 |
Doc md rsn no antipla |
| G9611 |
No doc order anti-plat rng |
| G9612 |
Phodoc 2 mr cec lndmk |
| G9613 |
Doc post surg anatomy |
| G9614 |
Photodoc < 2 cec lndmk |
| G9615 |
Pre-op asst doc |
| G9616 |
Doc rsn no preop assmt |
| G9617 |
Pre-op asst not doc, rng |
| G9618 |
Doc scr uter mal or us/samp |
| G9620 |
No scr utr malig/us/samp rng |
| G9621 |
Scr unheal etoh w/counsel |
| G9622 |
No unheal etoh user |
| G9623 |
Doc med rsn no scr etoh use |
| G9624 |
Pt not scrn or no counseling |
| G9625 |
Pt bl srg 30 day pst srg |
| G9626 |
Med rsn no rpt baldder inj |
| G9627 |
Pt no bl srg 30 day pst srg |
| G9628 |
Pt bwli srg 30 day pst srg |
| G9629 |
Med rsn no rpt bowel inj |
| G9630 |
Pt no bwli srg 30 day srg |
| G9631 |
Pt ui srg 30 day pst srg |
| G9632 |
Med rsn for no rpt uret inj |
| G9633 |
Pt no ui srg 30 day pst srg |
| G9634 |
Qual life tool 2x same/impr |
| G9635 |
No doc rsn do qual life assm |
| G9636 |
No life asst 2x same/decr |
| G9637 |
Doc >1 dose reduc tech |
| G9638 |
No doc >1 dose reduc tech |
| G9639 |
Amp no reqd in48h ieler proc |
| G9640 |
Doc plan hybrid/stage proc |
| G9641 |
Amp reqd w/in 48h ieler proc |
| G9642 |
Current smoker |
| G9643 |
Elective surgery |
| G9644 |
No smok b/4 anes day of surg |
| G9645 |
Had smoke b/4 anes day surg |
| G9646 |
Pt w/90d mrs 0-2 |
| G9647 |
No mrs score in 90d followup |
| G9648 |
Pt w/90d mrs >2 |
| G9649 |
Psor as doc spc bm |
| G9651 |
Psor as doc no spc bm |
| G9654 |
Mon anesth care |
| G9655 |
Toc tool incl key elem |
| G9656 |
Pt trans from anest to pacu |
| G9658 |
Toc tool incl elem not used |
| G9659 |
>85y no hx colo ca/rsn scope |
| G9660 |
Doc med rsn scope pt >85y |
| G9661 |
>85y scope othr rsn |
| G9662 |
Prior dx/active clin ascvd |
| G9663 |
Fast/dir ldl <= 190 mg/dl |
| G9664 |
Taking statin or rec'd order |
| G9665 |
No statin/no order statin |
| G9666 |
Fas/dir ldl 70-189mg/dl mst |
| G9674 |
Pt w/clin ascvd dx |
| G9675 |
Pt w/fast/dir lab ldl-c >190 |
| G9676 |
40-75y w/type 1/2 w/ldl-c rs |
| G9678 |
Oncology care model service |
| G9679 |
Acute care pneumonia |
| G9680 |
Acute care congestive heart |
| G9681 |
Acute care chronic obstruct |
| G9682 |
Acute care skin infection |
| G9683 |
Acute fluid/electro disorder |
| G9684 |
Acute care urinary tract inf |
| G9685 |
Acute nursing facility care |
| G9687 |
Hospice anytime msmt per |
| G9688 |
Pt w/hosp anytime msmt per |
| G9689 |
Inpt elect carotid intervent |
| G9690 |
Pt in hos |
| G9691 |
Pt hosp dur msmt period |
| G9692 |
Hosp recd by pt dur msmt per |
| G9693 |
Pt use hosp during msmt per |
| G9694 |
Hosp srv used pt in msmt per |
| G9695 |
Long act inhal bronchdil pre |
| G9696 |
Med rsn no presc bronchdil |
| G9697 |
Pt rsn no presc bronchdil |
| G9698 |
Sys rsn no presc bronchdil |
| G9699 |
Long inhal bronchdil no pres |
| G9700 |
Pt is w/hosp during msmt per |
| G9701 |
Child anbx 30 prior dx estab |
| G9702 |
Pt use hosp during msmt per |
| G9703 |
Child anbx 30 prior dx phary |
| G9704 |
Ajcc br ca stg i: t1 mic/t1a |
| G9705 |
Ajcc br ca stg ib |
| G9706 |
Low recur prost ca |
| G9707 |
Pt had hosp dur msmt per |
| G9708 |
Bilat mast/hx bi /unilat mas |
| G9709 |
Hosp srv used pt in msmt per |
| G9710 |
Pt prov hosp srv msmt per |
| G9711 |
Pt hx tot col or colon ca |
| G9712 |
Doc med rsn presc anbx |
| G9713 |
Pt use hosp during msmt per |
| G9714 |
Pt is w/hosp during msmt per |
| G9715 |
Pt w/hosp anytime msmt per |
| G9716 |
Bmi doc onl fup not cmpltd |
| G9717 |
Doc pt dx dep/bp f/u nt req |
| G9718 |
Hospice anytime msmt per |
| G9719 |
Pt not ambul/immob/wc |
| G9720 |
Hospice anytime msmt per |
| G9721 |
Pt not ambul/immob/wc |
| G9722 |
Doc hx renal fail or cr+ >4 |
| G9723 |
Hosp recd by pt dur msmt per |
| G9724 |
Pt w/doc use anticoag mst yr |
| G9725 |
Pt w/hosp anytime msmt per |
| G9726 |
Refused to participate |
| G9727 |
Pt unable cmplt knee fs prom |
| G9728 |
Refused to participate |
| G9729 |
Pt unbl cmplt hip fs prom |
| G9730 |
Refused to participate |
| G9731 |
Pt unbl cmplt ft/ank fs prom |
| G9732 |
Refused to participate |
| G9733 |
Pt unbl cmplt lb fs prom |
| G9734 |
Refused to participate |
| G9735 |
Pt unbl cmplt shld fs prom |
| G9736 |
Refused to participate |
| G9737 |
Pt unbl cmplt ewh fs prom |
| G9738 |
Refused to participate |
| G9739 |
Pt unbl cmplt go fs prom |
| G9740 |
Hosp srv to pt dur msmt per |
| G9741 |
Pt w/hosp anytime msmt per |
| G9744 |
Pt not eli d/t act dig htn |
| G9745 |
Doc rsn no hbp scrn or f/u |
| G9746 |
Mit sten, valve or trans af |
| G9747 |
Pall dialysis with catheter |
| G9748 |
App transpl lvg kidney donor |
| G9749 |
Pall dialysis with catheter |
| G9750 |
App transpl lvg kidney donor |
| G9751 |
Pt died w/in 24 mos rpt time |
| G9752 |
Urgent surgery |
| G9753 |
Doc no dicom, ct other fac |
| G9754 |
Incid pulm nodule |
| G9755 |
Doc med rsn no fllw up |
| G9756 |
Surg proc w/silicone oil |
| G9757 |
Surg proc w/silicone oil |
| G9758 |
Pt in hos |
| G9759 |
Hx preop post cap rup |
| G9760 |
Pt w/hosp anytime msmt per |
| G9761 |
Pt w/hosp anytime msmt per |
| G9762 |
Pt had >= 2-3 hpv vaccines |
| G9763 |
Pt not have 2-3 hpv vaccines |
| G9764 |
Pt treatd w/oral syst or bio |
| G9765 |
Doc pat declined therapy |
| G9766 |
Cva stroke dx tx transf fac |
| G9767 |
Hosp new dx cva consid evst |
| G9768 |
Pt w/hosp anytime msmt per |
| G9769 |
Bn den 2yr/got ost med/ther |
| G9770 |
Perip nerve block |
| G9771 |
Anes end, 1 temp >35.5(95.9) |
| G9772 |
Doc med rsn no temp >= 35.5 |
| G9773 |
1 bod temp >=35.5 |
| G9774 |
Pt had hyst |
| G9775 |
Recd 2 anti-emet pre/intraop |
| G9776 |
Doc med rsn no proph antiem |
| G9777 |
Pt no antiemet pre/intraop |
| G9778 |
Pts dx w/pregn |
| G9779 |
Pts breastfeeding |
| G9780 |
Pts dx w/rhabdomyolysis |
| G9781 |
Doc rsn no statin |
| G9782 |
Hx dx fam/pure hypercholes |
| G9783 |
Doc dx dm, fast <70, no stat |
| G9784 |
Path/derm prov 2nd biop opin |
| G9785 |
Path report sent |
| G9786 |
Path report not sent |
| G9787 |
Pt alive |
| G9788 |
Most rct bp |
| G9789 |
Record bp ip, er, urg/self |
| G9790 |
Most rct bp >/= 140/90 |
| G9791 |
Most rct tob stat free |
| G9792 |
Most rct tob stat not free |
| G9793 |
Pt on daily asa/antiplat |
| G9794 |
Doc med rsn no daily aspirin |
| G9795 |
Pt no daily asa/antiplat |
| G9796 |
Pt not currently on statin |
| G9797 |
Pt currently on statin |
| G9798 |
D/c ami btw 7/1-6/30 meas pd |
| G9799 |
Med disp evt indic hx asth |
| G9800 |
Pt id intol/alleg beta-block |
| G9801 |
Nonacut transf from inpt |
| G9802 |
Pt w/hosp anytime msmt per |
| G9803 |
Pt presc 135 day trmt |
| G9804 |
Pt not presc 135 day trmt |
| G9805 |
Pt w/hosp anytime msmt per |
| G9806 |
Pt recd cerv cyto/hpv |
| G9807 |
Pt no recd cerv cyto/hpv |
| G9808 |
Pt no asthm cont med mst per |
| G9809 |
Pt w/hosp anytime msmt per |
| G9810 |
Pdc 75% w/asth cont med |
| G9811 |
No pdc 75% w/asth cont med |
| G9812 |
Pt died during inpt/30d aft |
| G9813 |
Pt not died w/in 30d of proc |
| G9814 |
Death during index hosp |
| G9815 |
Death not during index hosp |
| G9816 |
Death <30 day post discharge |
| G9817 |
No death 30-days post-disch |
| G9818 |
Doc sex activity |
| G9819 |
Pt w/hosp anytime msmt per |
| G9820 |
Doc chlam scr test w/follow |
| G9821 |
No doc chlam scr ts w/follow |
| G9822 |
Endo abl proc yr prev ind dt |
| G9823 |
Endo smpl/hyst bx res doc |
| G9824 |
Endo smpl/hyst bx res no doc |
| G9825 |
Her-2 neg,undoc/unkn |
| G9826 |
Transf pract aft init chemo |
| G9827 |
Her-2 targ ther no init tx |
| G9828 |
Her-2 targ ther dur init tx |
| G9829 |
Breast adj chemo admin |
| G9830 |
Her-2 pos |
| G9831 |
Ajcc stg brt ca dx ii or iii |
| G9832 |
Brt ca dx i, no t1/t1a/t1b |
| G9833 |
Transf pract aft init chemo |
| G9834 |
Pt met dis at dx |
| G9835 |
Trastuz given w/in 12 mos dx |
| G9836 |
Rsn no trast given doc |
| G9837 |
Trastuz not in 12 mos dx |
| G9838 |
Pt met dis at dx |
| G9839 |
Anti-egfr mon anti ther |
| G9840 |
Gene testing performed |
| G9841 |
Gene testing not performed |
| G9842 |
Pt met dis at dx |
| G9843 |
Kras or nras gene mutation |
| G9844 |
Pt no recd anti-egfr ther |
| G9845 |
Pt recd anti-egfr ther |
| G9846 |
Pt died from cancer |
| G9847 |
Pt recd chemo last 14d life |
| G9848 |
Pt no chemo last 14d life |
| G9849 |
Pt died from cancer |
| G9850 |
1/more ed last 30d life |
| G9851 |
1/no ed visit last 30d life |
| G9852 |
Pt died from cancer |
| G9853 |
Icu stay last 30d life |
| G9854 |
No icu stay last 30d life |
| G9855 |
Pt died from cancer |
| G9856 |
Pt no hospice |
| G9857 |
Pt admit hospice |
| G9858 |
Pt enroll hospice |
| G9859 |
Pt died from cancer |
| G9860 |
Pt less 3d hospice |
| G9861 |
Pt more than 3d hospice |
| G9862 |
Doc rsn no 10 yr follow |
| G9868 |
Next gen aco model <10min |
| G9869 |
Next gen aco model 10-20min |
| G9870 |
Next gen aco model >20min |
| G9873 |
1 em core session |
| G9874 |
4 em core sessions |
| G9875 |
9 em core sessions |
| G9876 |
2 em core ms mo 7-9 no wl |
| G9877 |
2 em core ms mo 10-12 no wl |
| G9878 |
2 em core ms mo 7-9 wl |
| G9879 |
2 em core ms mo 10-12 wl |
| G9880 |
Em 5 percent wl |
| G9881 |
Em 9 percent wl |
| G9882 |
2 em ongoing ms mo 13-15 wl |
| G9883 |
2 em ongoing ms mo 16-18 wl |
| G9884 |
2 em ongoing ms mo 19-21 wl |
| G9885 |
2 em ongoing ms mo 22-24 wl |
| G9890 |
Em bridge payment |
| G9891 |
Em session reporting |
| G9892 |
Doc pt rsn no dil mac exam |
| G9893 |
No mac exam |
| G9894 |
Adr dep thrpy prescribed |
| G9895 |
Doc med rsn no adr dep thrpy |
| G9896 |
Doc pt rsn no adr dep thrpy |
| G9897 |
Pt nt prsc adr dep thrpy rng |
| G9898 |
Pt 66+ snp or ltc pos |
| G9899 |
Scrn mam perf rslts doc |
| G9900 |
Scrn mam perf rslts not doc |
| G9901 |
Pt 66+ snp or ltc pos |
| G9902 |
Pt scrn tbco and id as user |
| G9903 |
Pt scrn tbco id as non user |
| G9904 |
Doc med rsn no tbco scrn |
| G9905 |
No pt tbco scrn rng |
| G9906 |
Pt recv tbco cess interv |
| G9907 |
Doc med rsn no tbco interv |
| G9908 |
No pt tbco cess interv rng |
| G9909 |
Doc med rsn no tbco interv |
| G9910 |
Pt 66+ snp or ltc pos |
| G9911 |
Node neg pre/post syst ther |
| G9912 |
Hbv status assesed and int |
| G9913 |
No hbv status assesd and int |
| G9914 |
Pt receiving anti-tnf agent |
| G9915 |
No documntd hbv results rcd |
| G9916 |
Funct status past 12 months |
| G9917 |
Adv dem crgvr limited |
| G9918 |
No funct stat perf, rsn nos |
| G9919 |
Scrn nd pos nd prov of rec |
| G9920 |
Scrning perf and negative |
| G9921 |
No or part scrn nd rng or os |
| G9922 |
Sfty cncrns scrn nd mit recs |
| G9923 |
Safty cncrns scrn and neg |
| G9924 |
Doc med rsn no scrn or recs |
| G9925 |
No scrn prov rsn nos |
| G9926 |
Sfty cncrns scrn but no recs |
| G9927 |
Doc no warf /fda pt trial |
| G9928 |
No warf or fda drug presc |
| G9929 |
Trs/rev af |
| G9930 |
Com care |
| G9931 |
No chad or chad scr 0 or 1 |
| G9932 |
Doc pt rsn no tb scrn recrds |
| G9933 |
Canc detectd during col scrn |
| G9934 |
Doc rsn not detecting cancer |
| G9935 |
Canc not detectd during srcn |
| G9936 |
Pmh plyp/neo co/rect/jun/ans |
| G9937 |
Dig or surv colsco |
| G9938 |
Pt 66+ snp or ltc pos |
| G9939 |
Same path/derm perf biopsy |
| G9940 |
Doc reas no statin therapy |
| G9942 |
Adtl spine proc on same date |
| G9943 |
Bk pn nt msr vas scl pre/pst |
| G9945 |
Pt w/cancer scoliosis |
| G9946 |
Bk pain no vas |
| G9948 |
Adtl spine proc on same date |
| G9949 |
Leg pain no vas |
| G9954 |
Pt >2 rsk fac post-op vomit |
| G9955 |
Inhlnt anesth only for induc |
| G9956 |
Combo thrpy of >= 2 prophly |
| G9957 |
Doc med rsn no combo thrpy |
| G9958 |
No combo prohpyl thrp for pt |
| G9959 |
Systemic antimicro not presc |
| G9960 |
Med rsn sys antimi nt rx |
| G9961 |
Systemic antimicro presc |
| G9962 |
Embolization doc separatly |
| G9963 |
Embolization not doc separat |
| G9964 |
Pt recv >=1 well-chld visit |
| G9965 |
No well-chld vist recv by pt |
| G9966 |
Scrn, inter, report child |
| G9967 |
No scrn, inter, reprt child |
| G9968 |
Pt refrd 2 pvdr/spclst in pp |
| G9969 |
Pvdr rfrd pt rprt rcvd |
| G9970 |
Pvdr rfrd pt no rprt rcvd |
| G9974 |
Mac exam perf |
| G9975 |
Doc med rsn no dil mac exam |
| G9978 |
Remote e/m new pt 10mins |
| G9979 |
Remote e/m new pt 20mins |
| G9980 |
Remote e/m new pt 30 mins |
| G9981 |
Remote e/m new pt 45mins |
| G9982 |
Remote e/m new pt 60mins |
| G9983 |
Remote e/m est. pt 10mins |
| G9984 |
Remote e/m est. pt 15mins |
| G9985 |
Remote e/m est. pt 25mins |
| G9986 |
Remote e/m est. pt 40mins |
| G9987 |
Bpci advanced in home visit |