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Medical Billing Code Search

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8890 results found

0339U Onc prst8 mrna hoxc6 & dlx1 Description: Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first-void urine following digital rectal examination, algorithm reported as probability of high-grade cancer
0340U Onc pan ca alys mrd plasma Description: Oncology (pan-cancer), analysis of minimal residual disease (MRD) from plasma, with assays personalized to each patient based on prior next-generation sequencing of the patient’s tumor and germline DNA, reported as absence or presence of MRD, with disease-burden correlation, if appropriate
0341U Ftl aneup dna seq cmpr alys Description: Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism, and segmental aneuploid
0342U Onc pncrtc ca mult ia eclia Description: Oncology (pancreatic cancer), multiplex immunoassay of C5, C4, cystatin C, factor B, osteoprotegerin (OPG), gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay (ECLIA) for CA19-9, serum, diagnostic algorithm reported qualitatively as positive, negative, or borderline
0343U Onc prst8 xom aly 442 sncrna Description: Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR), urine, reported as molecular evidence of no-, low-, intermediate- or high-risk of prostate cancer
0344U Hep nafld semiq evl 28 lipid Description: Hepatology (nonalcoholic fatty liver disease [NAFLD]), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS), serum, reported as at-risk for nonalcoholic steatohepatitis (NASH) or not NASH
0345U Psyc genom alys pnl 15 gen Description: Psychiatry (eg, depression, anxiety, attention deficit hyperactivity disorder [ADHD]), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6
0346U Beta amyl Aβ40 & Aβ42 lcms/ms Description: Beta amyloid, Aβ40 and Aβ42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS), ratio, plasma
0347U Rx metab/pcx dna 16 gen alys Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes
0348U Rx metab/pcx dna 25 gen alys Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes
0349U Rx metab/pcx dna 27gen rx ia Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions
0350U Rx metab/pcx dna 27 gen alys Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes
0351U Nfct ds bct/viral trail ip10 Description: Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), interferon gamma-induced protein-10 (IP10), and C-reactive protein, serum, algorithm reported as likelihood of bacterial infection
0352U Nfct ds bv&vaginitis amp prb Description: Infectious disease (bacterial vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis–associated bacteria (BVAB-2, Atopobium vaginae, and Megasphera type 1), algorithm reported as detected or not detected and separate detection of Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, and trichomonas vaginalis, vaginal-fluid specimen, each result reported as detected or not detected
0353U Iadna chlmyd&gonorr amp prb Description: Infectious agent detection by nucleic acid (DNA), Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique, urine, vaginal, pharyngeal, or rectal, each pathogen reported as detected or not detected
0354U Hpv hi rsk qual mrna E6/E7 Description: Human papilloma virus (HPV), high-risk types (ie, 16, 18, 31, 33, 45, 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)
0355U APOL1 RISK VARIANTS Description: APOL1 (apolipoprotein L1) (eg, chronic kidney disease), risk variants (G1, G2)
0356U ONC OROP 17 DNA DDPCR ALG Description: Oncology (oropharyngeal), evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR), cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence
0357U ONC MLNMA AI QUAN ALYS 142 Description: Oncology (melanoma), artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments, plasma, prognostic, and predictive algorithm reported as likely, unlikely, or uncertain benefit from immunotherapy agents
0358U NEURO ALYS β-AMYL 1-42&1-40 Description: Neurology (mild cognitive impairment), analysis of β-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative
0359U ONC PRST8 CA ALYS ALL PSA Description: Oncology (prostate cancer), analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer
0360U ONC LUNG ELISA 7 AUTOANT ALG Description: Oncology (lung), enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53, NY-ESO-1, CAGE, GBU4-5, SOX2, MAGE A4, and HuD), plasma, algorithm reported as a categorical result for risk of malignancy
0361U NEURFLMNT LT CHN DIG IA QUAN Description: U Neurofilament light chain, digital immunoassay, plasma, quantitative
0362U ONC PAP THYR CA RNA 82&10 Description: Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin embedded (FFPE) tissue, algorithm reported as one of three molecular subtypes
0363U ONC URTHL MRNA 5 GEN ALG Description: Oncology (urothelial), mRNA, geneexpression profiling by real-time quantitative PCR of 5 genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm incorporates age, sex, smoking history, and macrohematuria frequency, reported as a risk score for having urothelial carcinoma
0364U ONC HL NEO GEN SEQ ALYS ALG Description: Oncology (hematolymphoid neoplasm), genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm, quantification of dominant clonal sequence(s), reported as presence or absence of minimal residual disease (MRD) with quantitation of disease burden, when appropriate
0365U ONC BLDR 10 PRB BLDR CA Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, algorithm reported as a probability of bladder cancer
0366U ONC BLDR 10 PRB RECR BLDR CA Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer
0367U ONC BLDR 10 FLWG TRURL RESCJ Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer following transurethral resection
0368U ONC CLRCT CA MUT&MTHYLTN MRK Description: Oncology (colorectal cancer), evaluation for mutations of APC, BRAF, CTNNB1, KRAS, NRAS, PIK3CA, SMAD4, and TP53, and methylation markers (MYO1G, KCNQ5, C9ORF50, FLI1, CLIP4, ZNF132 and TWIST1), multiplex quantitative polymerase chain reaction (qPCR), circulating cell-free DNA (cfDNA), plasma, report of risk score for advanced adenoma or colorectal cancer
0369U IADNA GI PTHGN 31 ORG&21 ARG Description: Infectious agent detection by nucleic acid (DNA and RNA), gastrointestinal pathogens, 31 bacterial, viral, and parasitic organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique
0370U IADNA SURG WND PTHGN 34&21 Description: Infectious agent detection by nucleic acid (DNA and RNA), surgical wound pathogens, 34 microorganisms and identification of 21 associated antibioticresistance genes, multiplex amplified probe technique, wound swab
0371U IADNA GU PTHGN SEMIQ DNA16&1 Description: Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogen, semiquantitative identification, DNA from 16 bacterial organisms and 1 fungal organism, multiplex amplified probe technique via quantitative polymerase chain reaction (qPCR), urine
0372U NFCT DS GU PTHGN ARG DETCJ Description: Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score
0373U IADNA RSP TR NFCT 17 8 13&16 Description: Infectious agent detection by nucleic acid (DNA and RNA), respiratory tract infection, 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes, multiplex amplified probe technique, upper or lower respiratory specimen
0374U IADNA GU PTHGN 21 ORG&21ARG Description: Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique, urine
0375U ONC OVRN BCHM ASY 7 PRTN ALG Description: Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prealbumin [ie, transthyretin], and cancer antigen 125), algorithm reported as ovarian cancer risk score
0376U ONC PRST8 CA IMG ALYS 128 Description: U Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancerspecific mortality, includes predictive algorithm to androgen deprivationtherapy response, if appropriate
0377U CV DS QUAN ADVSRM/PLSM LPRTN Description: Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including 23 variables)
0378U RFC1 REPEAT XPNSJ VRNT ALYS Description: RFC1 (replication factor C subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab
0379U TGSAP SL OR NEO DNA523&RNA55 Description: Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by nextgeneration sequencing, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability, and tumor mutational burden
0380U RX METB ADVRS TRGT SQ ALY 20 Description: Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and phenotype
0381U MAPLE SYRUP UR DS MNTR QUAN Description: Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of alloisoleucine, leucine, isoleucine, and valine, liquid chromatography with tandem mass spectrometry (LCMS/MS)
0382U HYPRPHENYLALNINMIA MNTR QUAN Description: Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry (LC-MS/MS)
0383U TYROSINEMIA TYP I MNTR QUAN Description: Tyrosinemia type I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine, phenylalanine, methionine, succinylacetone, nitisinone, liquid chromatography with tandem mass spectrometry (LC-MS/MS)
0384U NEPH CKD RSK HI STG KDN DS Description: Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LCMS/MS) and HbA1c and estimated glomerular filtration rate (GFR), with risk score reported for predictive progression to high-stage kidney disease
0385U NEPH CKD ALG RSK DBTC KDN DS Description: U Nephrology (chronic kidney disease), apolipoprotein A4 (ApoA4), CD5 antigen-like (CD5L), and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay (ELISA), plasma, algorithm combining results with HDL, estimated glomerular filtration rate (GFR) and clinical data reported as a risk score for developing diabetic kidney disease
0386U GI BARRETT ESOPH MTHYLTN ALY Description: U Gastroenterology (Barrett’s esophagus), P16, RUNX3, HPP1, and FBN1 methylation analysis, prognostic and predictive algorithm reported as a risk score for progression to high-grade dysplasia or esophageal cancer
A4397 Irrigation supply sleeve Description: Irrigation supply; sleeve, each
A4466 Elastic garment/covering Description: Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
A7011 Nondispos corrugated tubing Description: Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
A7042 Implanted pleural catheter Description: Implanted pleural catheter, each
A7043 Vacuum drainagebottle/tubing Description: Vacuum drainage bottle and tubing for use with implanted catheter
A9544 I131 tositumomab, dx Description: Iodine i-131 tositumomab, diagnostic, per study dose
A9545 I131 tositumomab, rx Description: Iodine i-131 tositumomab, therapeutic, per treatment dose
A9599 Radioph dx b amyloid pet nos Description: Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
B9000 Enter infusion pump w/o alrm Description: Enteral nutrition infusion pump - without alarm
C1300 Hyperbaric oxygen Description: Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval
C1834 Pressure sensor system, im Description: Pressure sensor system, includes all components (e.g., introducer, sensor), intramuscular (implantable), excludes mobile (wireless) software application
C1841 Retinal prosth int/ext comp Description: Retinal prosthesis, includes all internal and external components
C1842 Retinal prosth, add-on Description: Retinal prosthesis, includes all internal and external components; add-on to c1841
C1849 Skin substitute, synthetic Description: Skin substitute, synthetic, resorbable, per square centimeter
C8904 Mri w/o cont, breast, uni Description: Magnetic resonance imaging without contrast, breast; unilateral
C8907 Mri w/o cont, breast, bi Description: Magnetic resonance imaging without contrast, breast; bilateral
C9014 Injection, cerliponase alfa Description: Injection, cerliponase alfa, 1 mg
C9015 C-1 esterase, haegarda Description: Injection, c-1 esterase inhibitor (human), haegarda, 10 units
C9016 Inj, triptorelin ext rel Description: Injection, triptorelin extended release, 3.75 mg
C9021 Injection, obinutuzumab Description: Injection, obinutuzumab, 10 mg
C9022 Injection, elosulfase alfa Description: Injection, elosulfase alfa, 1mg
C9023 Inj testosterone undecanoate Description: Injection, testosterone undecanoate, 1 mg
C9024 Inj, daunorubicin-cytarabine Description: Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
C9025 Injection, ramucirumab Description: Injection, ramucirumab, 5 mg
C9026 Injection, vedolizumab Description: Injection, vedolizumab, 1 mg
C9027 Injection, pembrolizumab Description: Injection, pembrolizumab, 1 mg
C9028 Inj. inotuzumab ozogamicin Description: Injection, inotuzumab ozogamicin, 0.1 mg
C9029 Injection, guselkumab Description: Injection, guselkumab, 1 mg
C9030 Inj copanlisib Description: Injection, copanlisib, 1 mg
C9031 Lutetium lu 177 dotatate, tx Description: Lutetium lu 177, dotatate, therapeutic, 1 mci
C9032 Voretigene neparvovec-rzyl Description: Injection, voretigene neparvovec-rzyl, 1 billion vector genome
C9033 Inj, akynzeo Description: Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
C9034 Injection, dexamethasone 9% Description: Injection, dexamethasone 9%, intraocular, 1 mcg
C9035 Injection, aristada initio Description: Injection, aripiprazole lauroxil (aristada initio), 1 mg
C9036 Injection, patisiran Description: Injection, patisiran, 0.1 mg
C9037 Injection, risperidone Description: Injection, risperidone (perseris), 0.5 mg
C9038 Inj mogamulizumab-kpkc Description: Injection, mogamulizumab-kpkc, 1 mg
C9039 Injection, plazomicin Description: Injection, plazomicin, 5 mg
C9040 Injection, fremanezumab-vfrm Description: Injection, fremanezumab-vfrm, 1mg
C9041 Inj, coagulation factor xa Description: Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg
C9042 Inj., belrapzo 1 mg Description: Injection, bendamustine hcl (belrapzo), 1 mg
C9043 Injection, levoleucovorin Description: Injection, levoleucovorin, 1 mg
C9044 Injection, cemiplimab-rwlc Description: Injection, cemiplimab-rwlc, 1 mg
C9045 Moxetumomab pasudotox-tdfk Description: Injection, moxetumomab pasudotox-tdfk, 0.01 mg
C9048 Dexamethasone ophth insert Description: Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
C9049 Injection, tagraxofusp-erzs Description: Injection, tagraxofusp-erzs, 10 mcg
C9050 Injection, emapalumab-lzsg Description: Injection, emapalumab-lzsg, 1 mg
C9051 Injection, omadacycline Description: Injection, omadacycline, 1 mg
C9052 Injection, ravulizumab-cwv Description: Injection, ravulizumab-cwvz, 10 mg
C9053 Inj, crizanlizumab-tmca Description: Injection, crizanlizumab-tmca, 1 mg
C9054 Injection, lefamulin Description: Injection, lefamulin (xenleta), 1 mg
C9055 Inj, brexanolone Description: Injection, brexanolone, 1mg
C9056 Injection, givosiran Description: Injection, givosiran, 0.5 mg
C9057 Inj cetirizine hydrochloride Description: Injection, cetirizine hydrochloride, 1 mg
C9058 Injection,pegfilgrastim-bmez Description: Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg
C9059 Injection, meloxicam Description: Injection, meloxicam, 1 mg
C9060 Fluoroestradiol f18 Description: Fluoroestradiol f18, diagnostic, 1 mci
C9061 Injection, teprotumumab-trbw Description: Injection, teprotumumab-trbw, 10 mg
C9062 Daratumumab hyaluronidase Description: Injection, daratumumab 10 mg and hyaluronidase-fihj
C9063 Injection, eptinezumab-jjmr Description: Injection, eptinezumab-jjmr, 1 mg
C9064 Mitomycin pyelocalyceal inst Description: Mitomycin pyelocalyceal instillation, 1 mg
C9065 Romidepsin non-lyophilized Description: Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg
C9066 Sacituzumab govitecan-hziy Description: Injection, sacituzumab govitecan-hziy, 2.5 mg
C9068 Copper cu-64, dotatate, dx Description: Copper cu-64, dotatate, diagnostic, 1 millicurie
C9069 Belantamab mafodontin-blmf Description: Injection, belantamab mafodontin-blmf, 0.5 mg
C9070 Injection, tafasitamab-cxix Description: Injection, tafasitamab-cxix, 2 mg
C9071 Injection, viltolarsen Description: Injection, viltolarsen, 10 mg
C9072 Inj, imm glob asceniv Description: Injection, immune globulin (asceniv), 500 mg
C9073 Brexucabtagene autoleucel ca Description: Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9074 Injection, lumasiran Description: Injection, lumasiran, 0.5 mg
C9075 Injection, casimersen, 10 mg Description: Injection, casimersen, 10 mg
C9076 Lisocabtagene car pos t Description: Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9077 Inj cabotegravir/rilpivirine Description: Injection, cabotegravir and rilpivirine, 2mg/3mg
C9078 Inj, trilaciclib, 1 mg Description: Injection, trilaciclib, 1 mg
C9079 Inj, evinacumab-dgnb, 5 mg Description: Injection, evinacumab-dgnb, 5 mg
C9080 Inj, melphalan flufen, 1 mg Description: Injection, melphalan flufenamide hydrochloride, 1 mg
C9081 Idecabtagene car pos t Description: Idecabtagene vicleucel, up to 460 million autologous anti-bcma car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9082 Inj dostarlimab-gxly, 100 mg Description: Injection, dostarlimab-gxly, 100 mg
C9083 Inj, amivantamab-vmjw, 10 mg Description: Injection, amivantamab-vmjw, 10 mg
C9084 Loncastuximab-lpyl, 0.1 mg Description: Injection, loncastuximab tesirine-lpyl, 0.1 mg
C9085 Inj avalglucosid alfa-ngpt Description: Injection, avalglucosidase alfa-ngpt, 4 mg
C9086 Inj, anifrolumab-fnia Description: Injection, anifrolumab-fnia, 1 mg
C9087 Inj cyclophosphamd auromedic Description: Injection, cyclophosphamide, (auromedics), 10 mg
C9090 Plasminogen, human-tvmh 1 mg Description: Injection, plasminogen, human-tvmh, 1 mg
C9091 Sirolimus, protein-bound,1mg Description: Injection, sirolimus protein-bound particles, 1 mg
C9092 Inj., xipere, 1 mg Description: Injection, triamcinolone acetonide, suprachoroidal (xipere), 1 mg
C9093 Inj., susvimo, 0.1 mg Description: Injection, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg
C9094 Inj, sutimlimab-jome, 10 mg Description: Inj, sutimlimab-jome, 10 mg
C9095 Inj, tebentafusp-tebn, 1 mcg Description: Inj, tebentafusp-tebn, 1 mcg
C9096 Inj, releuko, 1 mcg Description: Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
C9097 Inj, faricimab-svoa, 0.1 mg Description: Inj, faricimab-svoa, 0.1 mg
C9098 Ciltacabtagene car pos t Description: Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9121 Injection, argatroban Description: Injection, argatroban, per 5 mg
C9122 Mometasone furoate (sinuva) Description: Mometasone furoate sinus implant, 10 micrograms (sinuva)
C9132 Kcentra, per i.u. Description: Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity
C9133 Factor ix recombinant Description: Factor ix (antihemophilic factor, recombinant), rixubis, per i.u.
C9134 Factor xiii a-subunit recomb Description: Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u.
C9135 Factor ix (alprolix) Description: Factor ix (antihemophilic factor, recombinant), alprolix, per i.u.
C9136 Factor viii (eloctate) Description: Injection, factor viii, fc fusion protein, (recombinant), per i.u.
C9137 Adynovate factor viii recom Description: Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u.
C9138 Nuwiq factor viii recomb Description: Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u.
C9139 Idelvion, 1 i.u. Description: Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.
C9140 Afstyla factor viii recomb Description: Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u.
C9141 Factor viii pegylated-aucl Description: Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u.
C9142 Inj, alymsys, 10 mg Description: Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
C9146 Inj, elahere, 1 mg Description: Injection, mirvetuximab soravtansine-gynx, 1 mg
C9147 Inj, tremelimumab-actl, 1 mg Description: Injection, tremelimumab-actl, 1 mg
C9148 Inj, teclistamab-cqyv, 0.5mg Description: Injection, teclistamab-cqyv, 0.5 mg
C9149 Inj, teplizumab-mzwv, 5 mcg Description: Injection, teplizumab-mzwv, 5 mcg
C9151 Inj, pegcetacoplan 1 mg Description: Injection, pegcetacoplan, 1 mg
C9152 Inj, abilify asimtufii, 1 mg Description: Injection, aripiprazole, (abilify asimtufii), 1 mg
C9153 Inj, amisulpride, 1 mg Description: Injection, amisulpride, 1 mg
C9154 Inj buprenorph (brixadi) 1mg Description: Injection, buprenorphine extended-release (brixadi), 1 mg
C9155 Inj epcoritamab-bysp,0.16 mg Description: Injection, epcoritamab-bysp, 0.16 mg
C9156 Flotufolastat f18, dia 1 mci Description: Flotufolastat f 18, diagnostic, 1 millicurie
C9157 Inj, tofersen, 1 mg Description: Injection, tofersen, 1 mg
C9158 Inj, uzedy, 1 mg Description: Injection, risperidone, (uzedy), 1 mg
C9275 Hexaminolevulinate hcl Description: Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose
C9349 Puraply, puraply antimic Description: Puraply, and puraply antimicrobial, any type, per square centimeter
C9407 Iodine i-131 iobenguane, dx Description: Iodine i-131 iobenguane, diagnostic, 1 millicurie
C9408 Iodine i-131 iobenguane, tx Description: Iodine i-131 iobenguane, therapeutic, 1 millicurie
C9441 Inj, ferric carboxymaltose Description: Injection, ferric carboxymaltose, 1 mg
C9442 Injection, belinostat Description: Injection, belinostat, 10 mg
C9443 Injection, dalbavancin Description: Injection, dalbavancin, 10 mg
C9444 Injection, oritavancin Description: Injection, oritavancin, 10 mg
C9445 C-1 esterase, ruconest Description: Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
C9446 Inj, tedizolid phosphate Description: Injection, tedizolid phosphate, 1 mg
C9447 Inj, phenylephrine ketorolac Description: Injection, phenylephrine and ketorolac, 4 ml vial
C9448 Oral netupitant palonosetron Description: Netupitant 300 mg and palonosetron 0.5 mg, oral
C9449 Inj, blinatumomab Description: Injection, blinatumomab, 1 mcg
C9450 Fluocinolone acetonide implt Description: Injection, fluocinolone acetonide intravitreal implant, 0.01 mg
C9451 Injection, peramivir Description: Injection, peramivir, 1 mg
C9452 Inj, ceftolozane/tazobactam Description: Injection, ceftolozane 50 mg and tazobactam 25 mg
C9453 Injection, nivolumab Description: Injection, nivolumab, 1 mg
C9454 Inj, pasireotide long acting Description: Injection, pasireotide long acting, 1 mg
C9455 Injection, siltuximab Description: Injection, siltuximab, 10 mg
C9456 Inj, isavuconazonium sulfate Description: Injection, isavuconazonium sulfate, 1 mg
C9457 Lumason contrast agent Description: Injection, sulfur hexafluoride lipid microsphere, per ml
C9458 Florbetaben f18 Description: Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
C9459 Flutemetamol f18 Description: Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
C9461 Choline c 11, diagnostic Description: Choline c 11, diagnostic, per study dose
C9463 Injection, aprepitant Description: Injection, aprepitant, 1 mg
C9464 Injection, rolapitant Description: Injection, rolapitant, 0.5 mg
C9465 Injection, durolane Description: Hyaluronan or derivative, durolane, for intra-articular injection, per dose
C9466 Injection, benralizumab Description: Injection, benralizumab, 1 mg
C9467 Inj rituximab hyaluronidase Description: Injection, rituximab and hyaluronidase, 10 mg
C9468 Inj, factor ix, rebinyn Description: Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u.
C9469 Inj triamcinolone acetonide Description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
C9470 Aripiprazole lauroxil im Description: Injection, aripiprazole lauroxil, 1 mg
C9471 Hymovis, 1 mg Description: Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
C9472 Inj talimogene laherparepvec Description: Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)
C9473 Injection, mepolizumab Description: Injection, mepolizumab, 1 mg
C9474 Inj, irinotecan liposome Description: Injection, irinotecan liposome, 1 mg
C9475 Injection, necitumumab Description: Injection, necitumumab, 1 mg
C9476 Injection, daratumumab Description: Injection, daratumumab, 10 mg
C9477 Injection, elotuzumab Description: Injection, elotuzumab, 1 mg
C9478 Injection, sebelipase alfa Description: Injection, sebelipase alfa, 1 mg
C9479 Instill, ciprofloxacin otic Description: Instillation, ciprofloxacin otic suspension, 6 mg
C9480 Injection, trabectedin Description: Injection, trabectedin, 0.1 mg
C9481 Injection, reslizumab Description: Injection, reslizumab, 1 mg
C9483 Injection, atezolizumab Description: Injection, atezolizumab, 10 mg
C9484 Injection, eteplirsen Description: Injection, eteplirsen, 10 mg
C9485 Injection, olaratumab Description: Injection, olaratumab, 10 mg
C9486 Inj, granisetron ext Description: Injection, granisetron extended release, 0.1 mg
C9487 Ustekinumab iv inj, 1 mg Description: Ustekinumab, for intravenous injection, 1 mg
C9489 Injection, nusinersen Description: Injection, nusinersen, 0.1 mg
C9490 Injection, bezlotoxumab Description: Injection, bezlotoxumab, 10 mg
C9491 Injection, avelumab Description: Injection, avelumab, 10 mg
C9492 Injection, durvalumab Description: Injection, durvalumab, 10 mg
C9493 Injection, edaravone Description: Injection, edaravone, 1 mg
C9494 Injection, ocrelizumab Description: Injection, ocrelizumab, 1 mg
C9497 Loxapine, inhalation powder Description: Loxapine, inhalation powder, 10 mg
C9724 Eps stomach plic Description: Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
C9735 Anoscopy, submucosal inj Description: Anoscopy; with directed submucosal injection(s), any substance
C9737 Lap esoph augmentation Description: Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)
C9741 Impl pressure sensor w/angio Description: Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report
C9742 Laryngoscopy with injection Description: Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed
C9743 Bulking/spacer material impl Description: Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)
C9744 Abd us w/contrast Description: Ultrasound, abdominal, with contrast
C9745 Nasal endo eustachian tube Description: Nasal endoscopy, surgical; balloon dilation of eustachian tube
C9746 Trans imp balloon cont Description: Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed
C9747 Ablation, hifu, prostate Description: Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance
C9748 Prostatic rf water vapor tx Description: Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy
C9749 Repair nasal stenosis w/imp Description: Repair of nasal vestibular lateral wall stenosis with implant(s)
C9750 Ins/rem-replace compl iims Description: Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode)
C9752 Intraosseous des lumb/sacrum Description: Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum
C9753 Intraosseous destruct add'l Description: Destruction of intraosseous basivertebral nerve, each additional vertebral body, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum (list separately in addition to code for primary procedure)
C9754 Perc av fistula, direct Description: Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
C9755 Rf magnetic-guide av fistula Description: Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed
C9770 Vitrec/mech pars, subret inj Description: Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent
C9771 Nsl/sins cryo post nasal tis Description: Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral
C9788 Uni breas optoacoustic imag Description: Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination
C9800 Dermal filler inj px/suppl Description: Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
C9803 Hopd covid-19 spec collect Description: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
E0450 Vol control vent invasiv int Description: Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
E0460 Neg press vent portabl/statn Description: Negative pressure ventilator; portable or stationary
E0461 Vol control vent noninv int Description: Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
E0463 Press supp vent invasive int Description: Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
E0464 Press supp vent noninv int Description: Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
E0628 Seat lift for pt furn-electr Description: Separate seat lift mechanism for use with patient owned furniture-electric
G0028 Doc med rsn no scr tob Description: Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)
G0056 Opt chronic dx mang mvp Description: Optimizing chronic disease management mips value pathways
G0154 Hhcp-svs of rn,ea 15 min Description: Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes
G0163 Hhc lpn/rn obs/asses ea 15 Description: Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)
G0164 Hhc lis nurse train ea 15 Description: Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes
G0173 Linear acc stereo radsur com Description: Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session
G0202 Scr mammo bi incl cad Description: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
G0204 Dx mammo incl cad bi Description: Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
G0206 Dx mammo incl cad uni Description: Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
G0251 Linear acc based stero radio Description: Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment
G0297 Ldct for lung ca screen Description: Low dose ct scan (ldct) for lung cancer screening
G0308 180 d implant glucose sensor Description: Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor, including system activation and patient training
G0309 Rem/inser glu sensor dif sit Description: Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor, including system activation
G0364 Bone marrow aspirate &biopsy Description: Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service
G0365 Vessel mapping hemo access Description: Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)
G0389 Ultrasound exam aaa screen Description: Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening
G0417 Sat biopsy prostate 21-40 Description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens
G0418 Sat biopsy prostate 41-60 Description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens
G0419 Sat biopsy prostate: >60 Description: Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens
G0424 Pulmonary rehab w exer Description: Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day
G0431 Drug screen multiple class Description: Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter
G0434 Drug screen multi drug class Description: Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
G0436 Tobacco-use counsel 3-10 min Description: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes
G0437 Tobacco-use counsel>10min Description: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes
G0456 Neg pre wound <=50 sq cm Description: Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area less than or equal to 50 square centimeters
G0457 Neg pres wound >50 sq cm Description: Negative pressure wound therapy, (e.g. vacuum assisted drainage collection) using a mechanically-powered device, not durable medical equipment, including provision of cartridge and dressing(s), topical application(s), wound assessment, and instructions for ongoing care, per session; total wounds(s) surface area greater than 50 square centimeters
G0461 Immunohisto/cyto chem 1st st Description: Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain
G0462 Immunohisto/cyto chem add Description: Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)
G0464 Colorec ca scr, sto bas dna Description: Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)
G0477 Drug test presump optical Description: Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service
G0478 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
G0479 Drug test presump not opt Description: Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, tof, maldi, ldtd, desi, dart, ghpc, gc mass spectrometry), includes sample validation when performed, per date of service
G0502 Init psych care manag, 70min Description: Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; review by the psychiatric consultant with modifications of the plan if recommended; entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant; and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies
G0503 Subseq psych care man,60mi Description: Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers; additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant; provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies; monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment
G0504 Init/sub psych care add 30 m Description: Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (list separately in addition to code for primary procedure); (use g0504 in conjunction with g0502, g0503)
G0505 Cog/func assessment outpt Description: Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliary or rest home
G0507 Care manage serv minimum 20 Description: Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team
G0515 Cognitive skills development Description: Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes
G0908 Hgb > 12 g/dl Description: Most recent hemoglobin (hgb) level > 12.0 g/dl
G0909 Hbg not doc Description: Hemoglobin level measurement not documented, reason not given
G0910 Hgb <= 12 g/dl Description: Most recent hemoglobin level <= 12.0 g/dl
G0919 Flu immunize not avail Description: Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
G0920 Type loc act doc Description: Type, anatomic location, and activity all documented
G0921 Doc pt reas no assess Description: Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)
G0922 Type loc act not doc Description: No documentation of disease type, anatomic location, and activity, reason not given
G1000 Cdsm applied pathways Description: Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program
G1005 Cdsm nia Description: Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program
G1006 Cdsm test approp Description: Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program
G1009 Cdsm sage health Description: Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program
G2023 Specimen collect covid-19 Description: Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
G2024 Spec coll snf/lab covid-19 Description: Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source
G2058 Ccm add 20min Description: Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).
G2061 Qual nonmd est pt 5-10m Description: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes
G2062 Qual nonmd est pt 11-20m Description: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes
G2063 Qual nonmd est pt 21>min Description: Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes
G2064 Md mang high risk dx 30 Description: Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities
G2065 Clin mang h risk dx 30 Description: Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities
G2066 Inter devc remote 30d Description: Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
G2089 A1c level 7 to 9% Description: Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%
G2095 Sys rsn no ace arn arni Description: Documentation of system reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., other system reasons)
G2102 Dil retinal eye exam Description: Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed
G2103 7 stereo photos interpret Description: Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed
G2104 Eye img valid w/7 stereo Description: Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed
G2108 Pt 66+ snp or ltc pos > 90d Description: Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
G2109 Pt 66+ frailty and med dem Description: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2110 Pt 66+ frailty and adv ill Description: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2114 Pt 66-80 frailty and med dem Description: Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2117 Pt 66-80 frailty and adv ill Description: Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2119 Calc vitd opt Description: Within the past 2 years, calcium and/or vitamin d optimization has been ordered or performed
G2120 No calc vitd opt Description: Within the past 2 years, calcium and/or vitamin d optimization has not been ordered or performed
G2123 Pt 66-80 frailty med dem Description: Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2124 Pt 66-80 frailty adv ill Description: Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and a dispensed dementia medication
G2130 Pt 66+ lt inst > 90 Description: Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 days during the measurement period
G2131 Pt 81+ frailty Description: Patients 81 years and older with a diagnosis of frailty
G2132 Pt 66-80 frailty and med dem Description: Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2133 Pt 66-80 frailty and adv ill Description: Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2134 Pt 66+ frailty and med dem Description: Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period
G2135 Pt 66+ frailty and adv ill Description: Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period
G2153 Hosp dur meas pd Description: In hospice or using hospice services during the measurement period
G2154 Td 9 yrs start end meas Description: Patient received at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period
G2155 Hist contraindications Description: Patient had history of at least one of the following contraindications any time during or before the measurement period: anaphylaxis due to tdap vaccine, anaphylaxis due to td vaccine or its components; encephalopathy due to tdap or td vaccination (post tetanus vaccination encephalitis, post diphtheria vaccination encephalitis or post pertussis vaccination encephalitis.)
G2156 No prior td or hx contra Description: Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period; or have history of at least one of the following contraindications any time during or before the measurement period: anaphylaxis due to tdap vaccine, anaphylaxis due to td vaccine or its components; encephalopathy due to tdap or td vaccination (post tetanus vaccination encephalitis, post diphtheria vaccination encephalitis or post pertussis vaccination encephalitis.)
G2157 Pneum vacc 12 mo 60+ Description: Patients received both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during the measurement period
G2158 Pneum vacc adv rx Description: Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period
G2159 No pneum vacc 12 mo 60+ Description: Patient did not receive both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before or during measurement period; or have prior pneumococcal vaccine adverse reaction any time during or before the measurement period
G2160 Herpzos 50+ Description: Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period
G2161 Adv rx zos Description: Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period
G2162 No herpzos 50+ Description: Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period; or have prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period
G2163 Infl vacc 07/01 to 06/30 Description: Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period
G2164 Adv rx infl vacc Description: Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period
G2165 No infl vacc 07/01 to 06/30 Description: Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period; or did not have a prior influenza virus vaccine adverse reaction any time before or during the measurement period
G2166 No pt adm dx no neck fs prom Description: Patient refused to participate at admission and/or discharge; patient unable to complete the neck fs prom at admission or discharge due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, and a suitable proxy/recorder is not available; patient self-discharged early; medical reason
G2170 Avf by tissue w thermal e Description: Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed
G2171 Avf use magnetic/art/ven Description: Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic supervision and interpretation, when performed
G2198 Med rsn no unhlthy etoh Description: Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons)
G2201 Med rsn no brief couns Description: Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)
G2203 Med rsn no etoh couns Description: Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)
G3001 Admin + supply, tositumomab Description: Administration and supply of tositumomab, 450 mg
G6018 Ileoscopy w/stent Description: Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation)
G6019 Colonoscopy lesion removal Description: Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
G6020 Colonoscopy w/stent Description: Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)
G6021 Unlisted px small intestine Description: Unlisted procedure, intestine
G6022 Sigmoidoscopy w/ablate tumr Description: Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesions(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
G6023 Sigmoidoscopy w/stent Description: Sigmoidoscopy, flexible; with transendoscopic stent placement (includes predilation)
G6024 Lesion removal colonoscopy Description: Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
G6025 Colonoscopy w/stent Description: Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent placement (includes predilation)
G6027 Anoscopy hra w/spec collect Description: Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); diagnostic, including collection of specimen(s) by brushing or washing when performed
G6028 Anoscopy hra w/biopsy Description: Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)
G6030 Assay of amitriptyline Description: Amitriptyline
G6031 Assay of benzodiazepines Description: Benzodiazepines
G6032 Assay of desipramine Description: Desipramine
G6034 Assay of doxepin Description: Doxepin
G6035 Assay of gold Description: Gold
G6036 Assay of imipramine Description: Assay of imipramine
G6037 Assay of nortiptyline Description: Nortriptyline
G6038 Assay of salicylate Description: Salicylate
G6039 Assay of acetaminophen Description: Acetaminophen
G6040 Assay of ethanol Description: Alcohol (ethanol); any specimen except breath
G6041 Assay of urine alkaloids Description: Alkaloids, urine, quantitative
G6042 Assay of amphetamines Description: Amphetamine or methamphetamine
G6043 Assay of barbiturates Description: Barbiturates, not elsewhere specified
G6044 Assay of cocaine Description: Cocaine or metabolite
G6045 Assay of dihydrocodeinone Description: Dihydrocodeinone
G6046 Assay of dihydromorphinone Description: Dihydromorphinone
G6047 Assay of dihydrotestosterone Description: Dihydrotestosterone
G6048 Assay of dimethadione Description: Dimethadione
G6049 Asssay of epiandrosterone Description: Epiandrosterone
G6050 Assay of ethchlorvynol Description: Ethchlorvynol
G6051 Assay of flurazepam Description: Flurazepam
G6052 Assay of meprobamate Description: Meprobamate
G6053 Assay of methadone Description: Methadone
G6054 Assay of methsuximide Description: Methsuximide
G6055 Assay of nicotine Description: Nicotine
G6056 Assay of opiates Description: Opiate(s), drug and metabolites, each procedure
G6057 Assay of phenothiazine Description: Phenothiazine
G6058 Drug confirmation Description: Drug confirmation, each procedure
G8126 Pt treat w/antidepress12wks Description: Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase
G8127 Pt not treat w/antidepres12w Description: Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase
G8128 Pt inelig for antidepres med Description: Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
G8398 Dil macular/fundus not perfo Description: Dilated macular or fundus exam not performed
G8401 Pt inelig osteo screen measu Description: Clinician documented that patient was not an eligible candidate for screening
G8406 Pt inelig lower extrem neuro Description: Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure
G8422 Pt inelig bmi calculation Description: Bmi not documented, documentation the patient is not eligible for bmi calculation
G8442 Doc pain as nt perf, not elg Description: Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter
G8458 Pt inelig geno no antvir tx Description: Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior to the reporting period, patient declines, patient not a candidate for antiviral treatment)
G8460 Pt inelig rna no antvir tx Description: Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c
G8461 Pt rec antivir treat hep c Description: Patient receiving antiviral treatment for hepatitis c during the measurement period
G8464 Pt inelig; lo to no dter rsk Description: Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined
G8485 Report, diabetes measures Description: I intend to report the diabetes mellitus (dm) measures group
G8486 Report, prev care measures Description: I intend to report the preventive care measures group
G8487 Report ckd measures Description: I intend to report the chronic kidney disease (ckd) measures group
G8489 Cad measures grp Description: I intend to report the coronary artery disease (cad) measures group
G8490 Ra measures grp Description: I intend to report the rheumatoid arthritis (ra) measures group
G8491 Hiv/aids measures grp Description: I intend to report the hiv/aids measures group
G8492 Periop care measures grp Description: I intend to report the perioperative care measures group
G8493 Back pain measures grp Description: I intend to report the back pain measures group
G8494 Dm meas qual act perform Description: All quality actions for the applicable measures in the diabetes mellitus (dm) measures group have been performed for this patient
G8495 Ckd meas qual act perform Description: All quality actions for the applicable measures in the chronic kidney disease (ckd) measures group have been performed for this patient
G8496 Prev care mg qual act perfrm Description: All quality actions for the applicable measures in the preventive care measures group have been performed for this patient
G8497 Cabg meas qual act perform Description: All quality actions for the applicable measures in the coronary artery bypass graft (cabg) measures group have been performed for this patient
G8498 Cad meas qual act perform Description: All quality actions for the applicable measures in the coronary artery disease (cad) measures group have been performed for this patient
G8499 Ra meas qual act perform Description: All quality actions for the applicable measures in the rheumatoid arthritis (ra) measures group have been performed for this patient
G8500 Hiv meas qual act perform Description: All quality actions for the applicable measures in the hiv/aids measures group have been performed for this patient
G8501 Perio meas qual act perform Description: All quality actions for the applicable measures in the perioperative care measures group have been performed for this patient
G8502 Back pain mg qual act perfrm Description: All quality actions for the applicable measures in the back pain measures group have been performed for this patient
G8506 Pt rec ace/arb Description: Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
G8509 Pos pain assess no f/u doc Description: Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
G8530 Auto av fistula recd Description: Autogenous av fistula received
G8531 Pt inelig; auto av fistula Description: Clinician documented that patient was not an eligible candidate for autogenous av fistula
G8532 No auto av fistula; no reas Description: Clinician documented that patient received vascular access other than autogenous av fistula, reason not given
G8544 Cabg measures grp Description: I intend to report the coronary artery bypass graft (cabg) measures group
G8545 Hepc measures grp Description: I intend to report the hepatitis c measures group
G8547 Ivd measures grp Description: I intend to report the ischemic vascular disease (ivd) measures group
G8548 Hf measures grp Description: I intend to report the heart failure (hf) measures group
G8549 Hepc mg qual act perform Description: All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient
G8551 Hf mg qual act perform Description: All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patient
G8552 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
G8571 Ster wd ifx 30 d postop Description: Development of deep sternal wound infection/mediastinitis within 30 days postoperatively
G8572 No ster wd ifx Description: No deep sternal wound infection/mediastinitis
G8573 Stk cabg Description: Stroke following isolated cabg surgery
G8574 No strk cabg Description: No stroke following isolated cabg surgery
G8579 Antplt med disch Description: Antiplatelet medication at discharge
G8580 Antplt med contraind Description: Antiplatelet medication contraindicated
G8581 No antplt med disch Description: No antiplatelet medication at discharge
G8582 Bblock disch Description: Beta-blocker at discharge
G8583 Bblock contraind Description: Beta-blocker contraindicated
G8584 No bblock disch Description: No beta-blocker at discharge
G8585 Antilipid treat disch Description: Anti-lipid treatment at discharge
G8586 Antlip disch contra Description: Anti-lipid treatment contraindicated
G8587 No antlipid treat disch Description: No anti-lipid treatment at discharge
G8593 Lipid pn results Description: Lipid profile results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)
G8594 No lipid prof perf Description: Lipid profile not performed, reason not given
G8595 Ldl < 100 Description: Most recent ldl-c < 100 mg/dl
G8597 Ldl >= 100 Description: Most recent ldl-c >= 100 mg/dl
G8627 Surg proc w/in 30 days Description: Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)
G8628 No surg proc w/in 30 days Description: Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)
G8629 Doc antibio order b/4 surg Description: Documentation of order for prophylactic parenteral antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)
G8630 Doc antibio given b/4 surg Description: Documentation that administration of prophylactic parenteral antibiotics was initiated within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required), as ordered
G8631 Pt no elg 4 order antbi give Description: Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)
G8632 Doc no antibi order b/4 surg Description: Prophylactic parenteral antibiotics were not ordered to be given or given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required), reason not given
G8634 Pt no elg phar ther osteo Description: Clinician documented patient not an eligible candidate to receive pharmacologic therapy for osteoporosis
G8645 Asthma measures grp Description: I intend to report the asthma measures group
G8646 Asthma mg qual act perform Description: All quality actions for the applicable measures in the asthma measures group have been performed for this patient
G8649 Rafscrs ki no scor Description: Risk-adjusted functional status change residual score for the knee impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8653 Rafscrs hi no scor Description: Risk-adjusted functional status change residual scores for the hip impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8657 Rafscrs llfai no scor Description: Risk-adjusted functional status change residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8665 Rafscrs si no scor Description: Risk-adjusted functional status change residual score for the shoulder impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8669 Rafscrs Description: Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8671 Rafscrs goi scor >= 0 Description: Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
G8672 Rafscrs goi scor < 0 Description: Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< 0)
G8673 Rafscrs goi no scor Description: Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
G8674 Rafscrs neck, no msr/no foto Description: Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general orthopedic fs prom at initial evaluation and/or near discharge, reason not given
G8682 Lvg test perf Description: Lvf testing documented as being performed prior to discharge or in the previous 12 months
G8683 Pt not elig for lvf test Description: Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason
G8685 Lvf test not perf Description: Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given
G8696 Antithromb thx presc Description: Antithrombotic therapy prescribed at discharge
G8697 Antithromb no presc doc reas Description: Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))
G8698 Antithromb no presc no reas Description: Antithrombotic therapy was not prescribed at discharge, reason not given
G8699 Rehab ordered disch Description: Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge
G8700 Rehab not indicated disch Description: Rehabilitation services (occupational, physical or speech) not indicated at or prior to discharge
G8701 Rehab not ordered Description: Rehabilitation services were not ordered, reason not otherwise specified
G8702 Antiobiotics 4 hr prior surg Description: Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
G8703 Antibiotics not prior surg Description: Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively
G8704 Ecg performed Description: 12-lead electrocardiogram (ecg) performed
G8705 Med reas no ecg Description: Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)
G8706 Pt reas no ecg Description: Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)
G8707 Ecg not performed Description: 12-lead electrocardiogram (ecg) not performed, reason not given
G8713 Spkt/v great 1.2 kt/v Description: Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])
G8714 Hemodialysis 3 times week Description: Hemodialysis treatment performed exactly three times per week for > 90 days
G8717 Less 1.2 kt/v Description: Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given
G8718 Great 1.7 kt/v per week Description: Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])
G8720 Less 1.7 kt/v per week Description: Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])
G8725 Lipid profile perf doc Description: Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)
G8726 Doc reas no lipid profile Description: Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)
G8728 Lipid profile not perf Description: Fasting lipid profile not performed, reason not given
G8730 Pain doc pos and plan Description: Pain assessment documented as positive using a standardized tool and a follow-up plan is documented
G8731 Pain neg no plan Description: Pain assessment using a standardized tool is documented as negative, no follow-up plan required
G8732 No doc of pain Description: No documentation of pain assessment, reason not given
G8736 Ldl-c <100mg/dl Description: Most current ldl-c <100mg/dl
G8737 Ldl-c >=100mg/dl Description: Most current ldl-c >=100mg/dl
G8738 Lvef < 40% Description: Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function
G8739 Lvef >= 40% Description: Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
G8740 Lvef not perfrmd Description: Left ventricular ejection fraction (lvef) not performed or assessed, reason not given
G8751 Smkg status not assess Description: Smoking status and exposure to second hand smoke in the home not assessed, reason not given
G8757 Copd mg qual act perform Description: All quality actions for the applicable measures in the chronic obstructive pulmonary disease (copd) measures group have been performed for this patient
G8758 Ibd mg qual act perform Description: All quality actions for the applicable measures in the inflammatory bowel disease (ibd) measures group have been performed for this patient
G8759 Osa mg qual act perform Description: All quality actions for the applicable measures in the sleep apnea measures group have been performed for this patient
G8761 Dementia mg qual act perform Description: All quality actions for the applicable measures in the dementia measures group have been performed for this patient
G8762 Pd mg qual act perform Description: All quality actions for the applicable measures in the parkinson's disease measures group have been performed for this patient
G8763 Hyperten mg qual act perform Description: All quality actions for the applicable measures in the hypertension (htn) measures group have been performed for this patient
G8764 Car prev mg qual act perform Description: All quality actions for the applicable measures in the cardiovascular prevention measures group have bee performed for this patient
G8765 Cataract mg qual act perform Description: All quality actions for the applicable measures in the cataract measures group have been performed for this patient
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