Hcpcs Code - G9072 | Med Reference

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HCPCS Code	G9072
Procedure	Onc dx brst stg1-2 noprogres
Description	Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i, or stage iia-iib; or t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

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HCPCS Pricing Indicator Code	00 = Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Code	C = Carrier judgement
HCPCS Berenson-Eggers Type Of Service Code	P7B = Oncology - other
HCPCS Type Of Service Code	1 = Medical care
HCPCS Action Code	N = No maintenance for this code

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HCPCS Code Added Date	2006-01-01 00:00:00
HCPCS Code Added Year	2006
HCPCS Action Effective Date	2007-01-01 00:00:00
HCPCS Action Effective Year	2007
HCPCS Termination Date	Active
HCPCS Termination Year	Active

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Starting Letter	G
Number of HCPCS Codes Starting With…	There are 1626 HCPCS codes that start with the letter G.

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Procedure: No scrn, inter, reprt child
Description: Children who were not screened for risk of developmental, behavioral and social delays using a standardized tool with interpretation and report

G9967

Procedure: Amoxic not presc as 1st line
Description: Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason

G9313

Procedure: Onc dx mult myeloma stg2 hig
Description: Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or higher (for use in a medicare-approved demonstration project)

G9129

Procedure: Care manag h vst new pt 60 m
Description: Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

G0079

Procedure: Gene testing performed
Description: Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab

G9840

Procedure: No or part scrn nd rng or os
Description: No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified

G9921

Procedure: Antithrom not prescribe
Description: Oral aspirin or other antithrombotic therapy was not prescribed, reason not given

G8897

Procedure: Robt lin-radsurg fractx 2-5
Description: Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment

G0340

Procedure: Pt recd cerv cyto/hpv
Description: Patients who received cervical cytology or an hpv test

G9806

Procedure: Colon ca scrn not hi rsk ind
Description: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

G0121

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: 2 em ongoing ms mo 13-15 wl
Description: Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15

G9882

Procedure: No surg site infection
Description: No surgical site infection

G9311

Procedure: Hospital outpt clinic visit
Description: Hospital outpatient clinic visit for assessment and management of a patient

G0463

Procedure: Rimantadine hcl 100mg oral
Description: Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)

G9020

Procedure: Pjp proph ordered cd4 low
Description: Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%

G9223

Procedure: Pt had hyst
Description: Patients who have had a hysterectomy

G9774

Procedure: No assess bone loss
Description: Patients not assessed for risk of bone loss, reason not given

G8863

Procedure: Opps/php; train & educ serv
Description: Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)

G0177

Procedure: Ivd mg qual act perform
Description: All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patient

G8552

Procedure: Claim resubmitted
Description: Claim being re-submitted for payment because it is no longer covered under a global payment demonstration

Procedure: Pt no ui srg 30 day pst srg
Description: Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery

G9633

Procedure: Pt no chemo last 14d life
Description: Patient did not receive chemotherapy in the last 14 days of life

G9848

Procedure: No hepc rna after med no rsn
Description: Hepatitis c quantitative rna testing was not documented as performed between 4-12 weeks after the initiation of antiviral treatment, reason not given

G9211

Procedure: Mod sedat endo service >5yrs
Description: Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)

G0500

Procedure: Drug test presump opt inst
Description: Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service

G0478

Procedure: Systemic antimicro not presc
Description: Systemic antimicrobials not prescribed

G9959

Procedure: No impr vis acuit w/in 90d
Description: Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given

G9517

Procedure: Pt met dis at dx
Description: Patient has metastatic disease at diagnosis

G9834

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

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G9072

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