2015 HCPCS Codes | Med Reference

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Procedure

Description

Procedure: Admit w/in 180d req surg rev
Description: Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision

G9412

Procedure: No admit req surg rev
Description: Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision

G9413

Procedure: 1dose menig vac btwn 11 & 13
Description: Patient had one dose of meningococcal vaccine on or between the patient's 11th and 13th birthdays

G9414

Procedure: No 1dose meni vac btwn 11&13
Description: Patient did not have one dose of meningococcal vaccine on or between the patient's 11th and 13th birthdays

G9415

Procedure: Lungcx bx rpt docs class
Description: Primary non-small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation

G9418

Procedure: Spec site no lung
Description: Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer

G9420

Procedure: Lung cx bx rpt no doc class
Description: Primary non-small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation

G9421

Procedure: Rpt doc class histo type
Description: Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (squamous cell carcinoma, adenocarcinoma and not nsclc-nos)

G9422

Procedure: Med reas rpt no histo type
Description: Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]

G9423

Procedure: Site no lung or lung cx
Description: Specimen site other than anatomic location of lung, or classified as nsclc-nos

G9424

Procedure: Spec rpt no doc class histo
Description: Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (squamous cell carcinoma, adenocarcinoma)

G9425

Procedure: Impr med time edarr pain med
Description: Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients

G9426

Procedure: No impro med time pain med
Description: Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients

G9427

Procedure: Spec site no cutaneous
Description: Specimen site other than anatomic cutaneous location

G9430

Procedure: Asth controlled
Description: Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented

G9432

Procedure: Asth not controlled
Description: Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given

G9434

Procedure: Born 1945-1965
Description: Patients who were born in the years 1945?1965

G9448

Procedure: Hx bld transf b/f 1992
Description: History of receiving blood transfusions prior to 1992

G9449

Procedure: Hx injec drug use
Description: History of injection drug use

G9450

Procedure: 1x scrn hcv infect
Description: Patient received one-time screening for hcv infection

G9451

Procedure: Doc med reas no scrn hcv
Description: Documentation of medical reason(s) for not receiving one-time screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [ie, ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)

G9452

Procedure: Pt reas no hcv infect
Description: Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)

G9453

Procedure: Abd imag w/us, ct or mri
Description: Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc

G9455

Procedure: Doc med pt reas no hcc scrn
Description: Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)

G9456

Procedure: Tob user recd cess interv
Description: Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user

G9458

Procedure: Tob non-user
Description: Currently a tobacco non-user

G9459

Procedure: No recd cortico>=10mg/d >60d
Description: Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

G9468

Procedure: Rec cortico>60d or 1rx 600mg
Description: Patients who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

G9469

Procedure: No rec cortico>60d 1rx 600mg
Description: Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills

G9470

Procedure: W/in 2yr dxa not order
Description: Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented

G9471

Procedure: No dxa no med hx no rv sx
Description: Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed

G9472

Procedure: Testosterone undecanoate 1mg
Description: Injection, testosterone undecanoate, 1 mg

J3145

Procedure: Monovisc inj per dose
Description: Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

J7327

Procedure: Visit for drug monitoring
Description: Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders

M0064

Procedure: Architect ecm px fx 1 sq cm
Description: Architect, architect px, or architect fx, extracellular matrix, per square centimeter

Q4147

Procedure: Allowrap ds or dry 1 sq cm
Description: Allowrap ds or dry, per square centimeter

Q4150

Procedure: Amnioband, guardian 1 sq cm
Description: Amnioband or guardian, per square centimeter

Q4151

Procedure: Dermapure 1 square cm
Description: Dermapure, per square centimeter

Q4152

Procedure: Biovance 1 square cm
Description: Biovance, per square centimeter

Q4154

Procedure: Neoxflo or clarixflo 1 mg
Description: Neoxflo or clarixflo, 1 mg

Q4155

Procedure: Revitalon 1 square cm
Description: Revitalon, per square centimeter

Q4157

Procedure: Affinity1 square cm
Description: Affinity, per square centimeter

Q4159

Procedure: Nushield 1 square cm
Description: Nushield, per square centimeter

Q4160

Procedure: Expatriate beneficiary
Description: Expatriate beneficiary

Procedure: Compounded drug
Description: Compounded drug

Procedure: Separate encounter
Description: Separate encounter, a service that is distinct because it occurred during a separate encounter

Procedure: Separate practitioner
Description: Separate practitioner, a service that is distinct because it was performed by a different practitioner

Procedure: Separate organ/structure
Description: Separate structure, a service that is distinct because it was performed on a separate organ/structure

Procedure: Unusual separate service
Description: Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service