2016 HCPCS Codes | Med Reference

Was this site helpful to you? We would very much appreciate you whitelisting us or using this link when you shop on Amazon (no impact on your order).

https://medreference.org/i/q/medreference__hcpcs-codes?s=&h=&d=&o=&_n=25

Procedure

Description

Procedure: Qual life tool 2x same/impr
Description: Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved

G9634

Procedure: No doc rsn do qual life assm
Description: Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)

G9635

Procedure: No life asst 2x same/decr
Description: Health-related quality of life not assessed with tool during at least two visits or quality of life score declined

G9636

Procedure: Doc >1 dose reduc tech
Description: Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)

G9637

Procedure: No doc >1 dose reduc tech
Description: Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)

G9638

Procedure: Amp no reqd in48h ieler proc
Description: Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure

G9639

Procedure: Doc plan hybrid/stage proc
Description: Documentation of planned hybrid or staged procedure

G9640

Procedure: Amp reqd w/in 48h ieler proc
Description: Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure

G9641

Procedure: Elective surgery
Description: Elective surgery

G9643

Procedure: No smok b/4 anes day of surg
Description: Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure

G9644

Procedure: Had smoke b/4 anes day surg
Description: Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure

G9645

Procedure: Pt w/90d mrs 0-2
Description: Patients with 90 day mrs score of 0 to 2

G9646

Procedure: No mrs score in 90d followup
Description: Patients in whom mrs score could not be obtained at 90 day follow-up

G9647

Procedure: Pt w/90d mrs >2
Description: Patients with 90 day mrs score greater than 2

G9648

Procedure: Mon anesth care
Description: Monitored anesthesia care (mac)

G9654

Procedure: Toc tool incl key elem
Description: A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used

G9655

Procedure: Toc tool incl elem not used
Description: A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used

G9658

Procedure: >85y no hx colo ca/rsn scope
Description: Patients greater than 85 years of age who did not have a history of colorectal cancer or valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease, ulcerative colitis, abnormal finding of gastrointestinal tract, or changes in bowel habits

G9659

Procedure: Doc med rsn scope pt >85y
Description: Documentation of medical reason(s) for a colonoscopy performed on a patient greater than 85 years of age (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease, ulcerative colitis, abnormal finding of gastrointestinal tract, or changes in bowel habits)

G9660

Procedure: >85y scope othr rsn
Description: Patients greater than 85 years of age who received a routine colonoscopy for a reason other than the following: an assessment of signs/symptoms of gi tract illness, and/or the patient is considered high risk, and/or to follow-up on previously diagnosed advance lesions

G9661

Procedure: Prior dx/active clin ascvd
Description: Previously diagnosed or have an active diagnosis of clinical ascvd

G9662

Procedure: Fast/dir ldl = 190 mg/dl
Description: Any fasting or direct ldl-c laboratory test result = 190 mg/dl

G9663

Procedure: Taking statin or rec'd order
Description: Patients who are currently statin therapy users or received an order (prescription) for statin therapy

G9664

Procedure: No statin/no order statin
Description: Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy

G9665

Procedure: Fas/dir ldl 70-189mg/dl mst
Description: The highest fasting or direct ldl-c laboratory test result of 70-189 mg/dl in the measurement period or two years prior to the beginning of the measurement period

G9666

Procedure: Pt w/clin ascvd dx
Description: Patients with clinical ascvd diagnosis

G9674

Procedure: Pt w/fast/dir lab ldl-c >190
Description: Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl

G9675

Procedure: 40-75y w/type 1/2 w/ldl-c rs
Description: Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70?189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period

G9676

Procedure: Oncology care model service
Description: Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement

G9678

Procedure: Acute care pneumonia
Description: This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary

G9679

Procedure: Acute care congestive heart
Description: This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary

G9680

Procedure: Acute care chronic obstruct
Description: This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary

G9681

Procedure: Acute care skin infection
Description: This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary

G9682

Procedure: Acute care urinary tract inf
Description: This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary

G9684

Procedure: Injection, ruconest
Description: Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units

J0596

Procedure: Injection, isavuconazonium
Description: Injection, isavuconazonium, 1 mg

J1833

Procedure: Inj, pasireotide long acting
Description: Injection, pasireotide long acting, 1 mg

J2502

Procedure: Factor viii recomb obizur
Description: Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u.

J7188

Procedure: Fluocinol acet intravit imp
Description: Injection, fluocinolone acetonide, intravitreal implant, 0.01 mg

J7313

Procedure: Compounded drug, noc
Description: Compounded drug, not otherwise classified

J7999

Procedure: Dermacell
Description: Dermacell, per square centimeter

Q4122

Procedure: Talymed
Description: Talymed, per square centimeter

Q4127

Procedure: Dermavest, plurivest sq cm
Description: Dermavest and plurivest, per square centimeter

Q4153

Procedure: Bio-connekt per square cm
Description: Bio-connekt wound matrix, per square centimeter

Q4161

Procedure: Helicoll, per square cm
Description: Helicoll, per square centimeter

Q4164

Procedure: Keramatrix, per square cm
Description: Keramatrix, per square centimeter

Q4165

Procedure: Compounded drug noc
Description: Compounded drug, not otherwise classified

Q9977

Procedure: Netupitant palonosetron oral
Description: Netupitant 300 mg and palonosetron 0.5 mg

Q9978

Procedure: Ct does not meet nema standa
Description: Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard