Medical Billing Code Search

9172 results found

G8752	Sys bp less 140	Description: Most recent systolic blood pressure < 140 mmhg
G8753	Sys bp > or = 140	Description: Most recent systolic blood pressure >= 140 mmhg
G8754	Dias bp less 90	Description: Most recent diastolic blood pressure < 90 mmhg
G8755	Dias bp > or = 90	Description: Most recent diastolic blood pressure >= 90 mmhg
G8756	No bp measure doc	Description: No documentation of blood pressure measurement, 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
G8767	Lipid panel res doc rev	Description: Lipid panel results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)
G8768	Doc med reas no lipid profle	Description: Documentation of medical reason(s) for not performing lipid profile (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8769	Lipid profile not perform	Description: Lipid profile not performed, reason not given
G8770	Urine protein test doc rev	Description: Urine protein test result documented and reviewed
G8771	Doc dx ckd	Description: Documentation of diagnosis of chronic kidney disease
G8772	Doc med reas no urine protn	Description: Documentation of medical reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not cllinically appropriate)
G8773	No urine protein test	Description: Urine protein test was not performed, reason not given
G8774	Serum creatinine doc rev	Description: Serum creatinine test result documented and reviewed
G8775	Doc med reas no serum crtn	Description: Documentation of medical reason(s) for not performing serum creatinine test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8776	No serum creatinine test	Description: Serum creatinine test not performed, reason not given
G8777	Diabetes screen	Description: Diabetes screening test performed
G8778	Doc med reas no diabete scrn	Description: Documentation of medical reason(s) for not performing diabetes screening test (e.g., patients with a diagnosis of diabetes, or with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8779	No diabetes screen	Description: Diabetes screening test not performed, reason not given
G8780	Counsel diet phys activity	Description: Counseling for diet and physical activity performed
G8781	Doc med reas no counsel diet	Description: Documentation of medical reason(s) for patient not receiving counseling for diet and physical activity (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8782	No counsel diet phys act	Description: Counseling for diet and physical activity not performed, reason not given
G8783	Bp scrn perf rec interval	Description: Normal blood pressure reading documented, follow-up not required
G8784	Pt no elig for bp assess	Description: Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)
G8785	Bp scrn no perf at interval	Description: Blood pressure reading not documented, reason not given
G8797	Specimen site not esophagus	Description: Specimen site other than anatomic location of esophagus
G8798	Specimen site not prostate	Description: Specimen site other than anatomic location of prostate
G8806	Perf ultrsnd to lct preg doc	Description: Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
G8807	No ta tv ultrasnd	Description: Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
G8808	Ultrasound not perf, rng	Description: Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
G8809	Rh-immunoglobulin order	Description: Rh-immunoglobulin (rhogam) ordered
G8810	Doc reas no rh-immuno	Description: Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)
G8811	No rh-immunoglobulin order	Description: Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
G8815	Doc reas no statin therapy	Description: Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
G8816	Statin med pres at disch	Description: Statin medication prescribed at discharge
G8817	Doc reas no statin med disch	Description: Statin therapy not prescribed at discharge, reason not given
G8818	Pt disch to home by day#7	Description: Patient discharge to home no later than post-operative day #7
G8825	Pt not disch to home day#7	Description: Patient not discharged to home by post-operative day #7
G8826	Pt disch home day #2 evar	Description: Patient discharged to home no later than post-operative day #2 following evar
G8833	Pt not disch home day#2 evar	Description: Patient not discharged to home by post-operative day #2 following evar
G8834	Pt disch home day #2 cea	Description: Patient discharged to home no later than post-operative day #2 following cea
G8838	Not disch home by day #2	Description: Patient not discharged to home by post-operative day #2 following cea
G8839	Sleep apnea assess	Description: Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness
G8840	Doc reas no sleep apnea	Description: Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)
G8841	No sleep apnea assess	Description: Sleep apnea symptoms not assessed, reason not given
G8842	Ahi rdi rei doc win 2mo	Description: Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea
G8843	Doc reas no ahi rdi rei	Description: Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)
G8844	No ahi rdi rei ini dx no rsn	Description: Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given
G8845	Pos airway press prescribed	Description: Positive airway pressure therapy prescribed
G8846	Mod or severe osa	Description: Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)
G8848	Mild osa	Description: Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15)
G8849	Doc reas no pos air press	Description: Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)
G8850	No pap prescribed	Description: Positive airway pressure therapy not prescribed, reason not given
G8851	Adhere tx assess at lst ann	Description: Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)
G8852	Pos air press prescribe	Description: Positive airway pressure therapy was prescribed
G8853	Pos air press not prescribe	Description: Positive airway pressure therapy not prescribed
G8854	Reas no adhere therapy	Description: Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
G8855	Ther not assessed annually	Description: Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given
G8856	Ref for oto eval	Description: Referral to a physician for an otologic evaluation performed
G8857	No elig ref for oto eval	Description: Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)
G8858	Not ref for oto eval	Description: Referral to a physician for an otologic evaluation not performed, reason not given
G8859	Corticosteroids 10mg 60 days	Description: Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
G8860	Corticosteroid 10 mg 60 days	Description: Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
G8861	Dxa ordered for osteo	Description: Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed
G8862	No corticostrd 10mg 60 days	Description: Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
G8863	No assess bone loss	Description: Patients not assessed for risk of bone loss, reason not given
G8864	Pneumococcal vaccine admin	Description: Pneumococcal vaccine administered or previously received
G8865	Doc med reas no pneumococcal	Description: Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)
G8866	Doc pt reas no pneumococcal	Description: Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)
G8867	No pneumococcal admin	Description: Pneumococcal vaccine not administered or previously received, reason not given
G8868	1st course antitnf	Description: Patients receiving a first course of anti-tnf therapy
G8869	Doc immune hep b antitnf	Description: Patient has documented immunity to hepatitis b and initiating anti-tnf therapy
G8870	Hepb admin 1st antitnf	Description: Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy
G8871	No 1st antitnf	Description: Patient not receiving a first course of anti-tnf therapy
G8872	Intraop image confirm excise	Description: Excised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
G8873	Specimen not intraop image	Description: Patients with needle localization specimens which are not amenable to intraoperative imaging such as mri needle wire localization, or targets which are tentatively identified on mammogram or ultrasound which do not contain a biopsy marker but which can be verified on intraoperative inspection or pathology (e.g., needle biopsy site where the biopsy marker is remote from the actual biopsy site)
G8874	Tissue not image intraop	Description: Excised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
G8875	Breast cancer dx min invsive	Description: Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
G8876	Doc reas no min inv dx	Description: Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)
G8877	No brst cncr dx min invasive	Description: Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given
G8878	Sent lymph node biopsy	Description: Sentinel lymph node biopsy procedure performed
G8879	Node neg inv brst cncr	Description: Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer
G8880	Sen lym p node biop not perf	Description: Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)
G8881	Brst cncr stage > t1n0m0	Description: Stage of breast cancer is greater than t1n0m0 or t2n0m0
G8882	No sent lymph node biopsy	Description: Sentinel lymph node biopsy procedure not performed, reason not given
G8883	Rev, comm, track, doc biopsy	Description: Biopsy results reviewed, communicated, tracked and documented
G8884	Doc reas biopsy not review	Description: Clinician documented reason that patient's biopsy results were not reviewed
G8885	No rev, comm, track biopsy	Description: Biopsy results not reviewed, communicated, tracked or documented
G8886	Bp under control	Description: Most recent blood pressure under control
G8887	Doc med reas bp not control	Description: Documentation of medical reason(s) for most recent blood pressure not being under control (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8888	Bp not under control	Description: Most recent blood pressure not under control, results documented and reviewed
G8889	No doc bp	Description: No documentation of blood pressure measurement, reason not given
G8890	Ldl-c under control	Description: Most recent ldl-c under control, results documented and reviewed
G8891	Doc med reas no ldl-c contrl	Description: Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8892	Doc med reas no ldl-c test	Description: Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
G8893	Ldl-c not under control	Description: Most recent ldl-c not under control, results documented and reviewed
G8894	Ldl-c not performed	Description: Ldl-c not performed, reason not given
G8895	Antrom prescribe	Description: Oral aspirin or other antithrombotic therapy prescribed
G8896	Doc med reas no antihtrom	Description: Documentation of medical reason(s) for not prescribing oral aspirin or other antithrombotic therapy (e.g., patient documented to be low risk or patient with terminal illness or treatment of hypertension with standard treatment goals is not clinically appropriate, or for whom risk of aspirin or other antithrombotic therapy exceeds potential benefits such as for individuals whose blood pressure is poorly controlled)
G8897	Antithrom not prescribe	Description: Oral aspirin or other antithrombotic therapy was not prescribed, reason not given
G8898	Copd measures group	Description: I intend to report the chronic obstructive pulmonary disease (copd) measures group
G8899	Inflammatory bowel dis mg	Description: I intend to report the inflammatory bowel disease (ibd) measures group
G8900	Obstructive sleep apnea mg	Description: I intend to report the sleep apnea measures group
G8902	Dementia measures group	Description: I intend to report the dementia measures group
G8903	Parkinson's disease mg	Description: I intend to report the parkinson's disease measures group
G8904	Hypertension mg	Description: I intend to report the hypertension (htn) measures group
G8905	Cardiovascular prevention mg	Description: I intend to report the cardiovascular prevention measures group
G8906	Cataract measures group	Description: I intend to report the cataract measures group
G8907	Pt doc no events on discharg	Description: Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility
G8908	Pt doc w burn prior to d/c	Description: Patient documented to have received a burn prior to discharge
G8909	Pt doc no burn prior to d/c	Description: Patient documented not to have received a burn prior to discharge
G8910	Pt doc to have fall in asc	Description: Patient documented to have experienced a fall within asc
G8911	Pt doc no fall in asc	Description: Patient documented not to have experienced a fall within ambulatory surgical center
G8912	Pt doc with wrong event	Description: Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
G8913	Pt doc no wrong event	Description: Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
G8914	Pt trans to hosp post d/c	Description: Patient documented to have experienced a hospital transfer or hospital admission upon discharge from asc
G8915	Pt not trans to hosp at d/c	Description: Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc
G8916	Pt w iv ab given on time	Description: Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time
G8917	Pt w iv ab not given on time	Description: Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time
G8918	Pt w/o preop order iv ab pro	Description: Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis
G8923	Lvef <= 40% or lvsd	Description: Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function
G8924	Spir res doc fev1/fvc<70%	Description: Spirometry results documented (fev1/fvc < 70%)
G8925	Spir fev1/fvc>=60% & no copd	Description: Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms
G8926	Spiro no perf or doc	Description: Spirometry test not performed or documented, reason not given
G8927	Adj chem pres ajcc iii	Description: Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer
G8928	Adj chem not pres rsn spec	Description: Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)
G8929	Adj cmo not pres rsn not gvn	Description: Adjuvant chemotherapy not prescribed or previously received, reason not given
G8930	Assess of dep @ initial eval	Description: Assessment of depression severity at the initial evaluation
G8931	Asses of dep not documented	Description: Assessment of depression severity not documented, reason not given
G8932	Suicd rsk assessed init eval	Description: Suicide risk assessed at the initial evaluation
G8933	Suicide risk not assessed	Description: Suicide risk not assessed at the initial evaluation, reason not given
G8934	Lvef <=40% or dep lv sys fcn	Description: Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function
G8935	Rx ace or arb therapy	Description: Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
G8936	Pt not eligible ace/arb	Description: Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)
G8937	No rx ace/arb therapy	Description: Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given
G8938	Bmi doc onl fup nt doc	Description: Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible
G8939	Pain as doc positive, no f/u	Description: Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter
G8940	Scr dep pos, no plan done	Description: Screening for depression documented as positive, a follow-up plan not completed, documented reason
G8941	Eld maltreatment doc as pos	Description: Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter
G8942	Doc fcn/care plan w/30 days	Description: Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment
G8943	Ldlc not pres w/i 12 mo prir	Description: Ldl-c result not present or not within 12 months prior
G8944	Ajcc mel cnr stg 0 - iic	Description: Ajcc melanoma cancer stage 0 through iic melanoma
G8946	Mibm but no dx of breast ca	Description: Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)
G8947	1 or more neuropsych	Description: One or more neuropsychiatric symptoms
G8948	No neuropsych symptoms	Description: No neuropsychiatric symptoms
G8949	Doc pt reas on counsel diet	Description: Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)
G8950	Pre-htn or htn doc, f/u indc	Description: Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
G8951	Pre-htn/htn doc, no pt f/u	Description: Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible
G8952	Pre-htn/htn, no f/u, not gvn	Description: Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
G8953	Oncology mg qual act perform	Description: All quality actions for the applicable measures in the oncology measures group have been performed for this patient
G8955	Most recent assess vol mgmt	Description: Most recent assessment of adequacy of volume management documented
G8956	Pt rcv hedia outpt dyls fac	Description: Patient receiving maintenance hemodialysis in an outpatient dialysis facility
G8957	Pt no hedia in outpt fac	Description: Patient not receiving maintenance hemodialysis in an outpatient dialysis facility
G8958	Assess vol mgmt not doc	Description: Assessment of adequacy of volume management not documented, reason not given
G8959	Clin tx mdd comm to tx clin	Description: Clinician treating major depressive disorder communicates to clinician treating comorbid condition
G8960	Clin tx mdd not comm	Description: Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given
G8961	Csit lowrisk surg pts preop	Description: Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
G8962	Csit on pt any reas 30 days	Description: Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
G8963	Csi per asx pt w/pci 2 yrs	Description: Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years
G8964	Csi any other than pci 2 yr	Description: Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.g., symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc)
G8965	Csit perf on low chd rsk	Description: Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment
G8966	Csit perf sx or high chd rsk	Description: Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment
G8967	Warf or other fda drug presc	Description: Fda approved oral anticoagulant is prescribed
G8968	Doc med not presb	Description: Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)
G8969	Doc pt rsn no presc warf/fda	Description: Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)
G8970	No rsk fac or 1 mod risk te	Description: No risk factors or one moderate risk factor for thromboembolism
G8971	Warfrn or othr antcog no rx	Description: Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given
G8972	1>=risk or>= mod risk for te	Description: One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism
G8973	Mst rcnt hbb < 10g/dl	Description: Most recent hemoglobin (hgb) level < 10 g/dl
G8974	Hgb not doc rns not gvn	Description: Hemoglobin level measurement not documented, reason not given
G8975	Hgb <10g/dl, med rsn	Description: Documentation of medical reason(s) for patient having a hemoglobin level < 10 g/dl (e.g., patients who have non-renal etiologies of anemia [e.g., sickle cell anemia or other hemoglobinopathies, hypersplenism, primary bone marrow disease, anemia related to chemotherapy for diagnosis of malignancy, postoperative bleeding, active bloodstream or peritoneal infection], other medical reasons)
G8976	Hgb >= 10 g/dl	Description: Most recent hemoglobin (hgb) level >= 10 g/dl
G8977	Oncology measures grp	Description: I intend to report the oncology measures group
G8978	Mobility current status	Description: Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals
G8979	Mobility goal status	Description: Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8980	Mobility d/c status	Description: Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting
G8981	Body pos current status	Description: Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals
G8982	Body pos goal status	Description: Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8983	Body pos d/c status	Description: Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting
G8984	Carry current status	Description: Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals
G8985	Carry goal status	Description: Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8986	Carry d/c status	Description: Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting
G8987	Self care current status	Description: Self care functional limitation, current status, at therapy episode outset and at reporting intervals
G8988	Self care goal status	Description: Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8989	Self care d/c status	Description: Self care functional limitation, discharge status, at discharge from therapy or to end reporting
G8990	Other pt/ot current status	Description: Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals
G8991	Other pt/ot goal status	Description: Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8992	Other pt/ot d/c status	Description: Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting
G8993	Sub pt/ot current status	Description: Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals
G8994	Sub pt/ot goal status	Description: Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8995	Sub pt/ot d/c status	Description: Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reporting
G8996	Swallow current status	Description: Swallowing functional limitation, current status at therapy episode outset and at reporting intervals
G8997	Swallow goal status	Description: Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G8998	Swallow d/c status	Description: Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting
G8999	Motor speech current status	Description: Motor speech functional limitation, current status at therapy episode outset and at reporting intervals
G9001	Mccd, initial rate	Description: Coordinated care fee, initial rate
G9002	Mccd,maintenance rate	Description: Coordinated care fee, maintenance rate
G9003	Mccd, risk adj hi, initial	Description: Coordinated care fee, risk adjusted high, initial
G9004	Mccd, risk adj lo, initial	Description: Coordinated care fee, risk adjusted low, initial
G9005	Mccd, risk adj, maintenance	Description: Coordinated care fee, risk adjusted maintenance
G9006	Mccd, home monitoring	Description: Coordinated care fee, home monitoring
G9007	Mccd, sch team conf	Description: Coordinated care fee, scheduled team conference
G9008	Mccd,phys coor-care ovrsght	Description: Coordinated care fee, physician coordinated care oversight services
G9009	Mccd, risk adj, level 3	Description: Coordinated care fee, risk adjusted maintenance, level 3
G9010	Mccd, risk adj, level 4	Description: Coordinated care fee, risk adjusted maintenance, level 4
G9011	Mccd, risk adj, level 5	Description: Coordinated care fee, risk adjusted maintenance, level 5
G9012	Other specified case mgmt	Description: Other specified case management service not elsewhere classified
G9013	Esrd demo bundle level i	Description: Esrd demo basic bundle level i
G9014	Esrd demo bundle-level ii	Description: Esrd demo expanded bundle including venous access and related services
G9016	Demo-smoking cessation coun	Description: Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]
G9017	Amantadine hcl 100mg oral	Description: Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
G9018	Zanamivir,inhalation pwd 10m	Description: Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)
G9019	Oseltamivir phosphate 75mg	Description: Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)
G9020	Rimantadine hcl 100mg oral	Description: Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
G9033	Amantadine hcl oral brand	Description: Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)
G9034	Zanamivir, inh pwdr, brand	Description: Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg (for use in a medicare-approved demonstration project)
G9035	Oseltamivir phosp, brand	Description: Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)
G9036	Rimantadine hcl, brand	Description: Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)
G9037	Intrpro req fr rec phys/qhcp	Description: Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e. not for professional education or scheduling) and may include subsequent follow up on the specialist's recommendations; 30 minutes
G9038	Co-management services	Description: Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care
G9050	Oncology work-up evaluation	Description: Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)
G9051	Oncology tx decision-mgmt	Description: Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project)
G9052	Onc surveillance for disease	Description: Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)
G9053	Onc expectant management pt	Description: Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)
G9054	Onc supervision palliative	Description: Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project)
G9055	Onc visit unspecified nos	Description: Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)
G9056	Onc prac mgmt adheres guide	Description: Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)
G9057	Onc pract mgmt differs trial	Description: Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project)
G9058	Onc prac mgmt disagree w/gui	Description: Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)
G9059	Onc prac mgmt pt opt alterna	Description: Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a medicare-approved demonstration project)
G9060	Onc prac mgmt dif pt comorb	Description: Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project)
G9061	Onc prac cond noadd by guide	Description: Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project)
G9062	Onc prac guide differs nos	Description: Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project)
G9063	Onc dx nsclc stgi no progres	Description: Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage i (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9064	Onc dx nsclc stg2 no progres	Description: Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage ii (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9065	Onc dx nsclc stg3a no progre	Description: Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage iii a (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9066	Onc dx nsclc stg3b-4 metasta	Description: Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9067	Onc dx nsclc dx unknown nos	Description: Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9068	Onc dx sclc/nsclc limited	Description: Oncology; disease status; limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9069	Onc dx sclc/nsclc ext at dx	Description: Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small cell; extensive stage at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9070	Onc dx sclc/nsclc ext unknwn	Description: Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9071	Onc dx brst stg1-2b hr,nopro	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/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9072	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)
G9073	Onc dx brst stg3-hr, no pro	Description: Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9074	Onc dx brst stg3-noprogress	Description: Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not 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)
G9075	Onc dx brst metastic/ recur	Description: Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9077	Onc dx prostate t1no progres	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9078	Onc dx prostate t2no progres	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9079	Onc dx prostate t3b-t4noprog	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t3b-t4, any n; any t, n1 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9080	Onc dx prostate w/rise psa	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising psa or failure of psa decline (for use in a medicare-approved demonstration project)
G9083	Onc dx prostate unknwn nos	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9084	Onc dx colon t1-3,n1-2,no pr	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9085	Onc dx colon t4, n0 w/o prog	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9086	Onc dx colon t1-4 no dx prog	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-4, n1-2, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9087	Onc dx colon metas evid dx	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)
G9088	Onc dx colon metas noevid dx	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)
G9089	Onc dx colon extent unknown	Description: Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9090	Onc dx rectal t1-2 no progr	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-2, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9091	Onc dx rectal t3 n0 no prog	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9092	Onc dx rectal t1-3,n1-2noprg	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n1-2, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence or metastases (for use in a medicare-approved demonstration project)
G9093	Onc dx rectal t4,n,m0 no prg	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9094	Onc dx rectal m1 w/mets prog	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9095	Onc dx rectal extent unknwn	Description: Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9096	Onc dx esophag t1-t3 noprog	Description: Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t1-t3, n0-n1 or nx (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9097	Onc dx esophageal t4 no prog	Description: Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9098	Onc dx esophageal mets recur	Description: Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9099	Onc dx esophageal unknown	Description: Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9100	Onc dx gastric no recurrence	Description: Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a medicare-approved demonstration project)
G9101	Onc dx gastric p r1-r2noprog	Description: Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r1 or r2 resection (with or without neoadjuvant therapy) with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)
G9102	Onc dx gastric unresectable	Description: Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m0, unresectable with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)
G9103	Onc dx gastric recurrent	Description: Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9104	Onc dx gastric unknown nos	Description: Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9105	Onc dx pancreatc p r0 res no	Description: Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post r0 resection without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9106	Onc dx pancreatc p r1/r2 no	Description: Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1 or r2 resection with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)
G9107	Onc dx pancreatic unresectab	Description: Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9108	Onc dx pancreatic unknwn nos	Description: Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9109	Onc dx head/neck t1-t2no prg	Description: Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t1-t2 and n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9110	Onc dx head/neck t3-4 noprog	Description: Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t3-4 and/or n1-3, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9111	Onc dx head/neck m1 mets rec	Description: Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)
G9112	Onc dx head/neck ext unknown	Description: Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9113	Onc dx ovarian stg1a-b no pr	Description: Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9114	Onc dx ovarian stg1a-b or 2	Description: Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9115	Onc dx ovarian stg3/4 noprog	Description: Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression, recurrence, or metastases (for use in a medicare-approved demonstration project)
G9116	Onc dx ovarian recurrence	Description: Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a medicare-approved demonstration project)
G9117	Onc dx ovarian unknown nos	Description: Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9123	Onc dx cml chronic phase	Description: Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)
G9124	Onc dx cml acceler phase	Description: Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)
G9125	Onc dx cml blast phase	Description: Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)
G9126	Onc dx cml remission	Description: Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)
G9128	Onc dx multi myeloma stage i	Description: Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, stage i (for use in a medicare-approved demonstration project)
G9129	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)
G9130	Onc dx multi myeloma unknown	Description: Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9131	Onc dx brst unknown nos	Description: Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)
G9132	Onc dx prostate mets no cast	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a medicare-approved demonstration project)
G9133	Onc dx prostate clinical met	Description: Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)
G9134	Onc nhlstg 1-2 no relap no	Description: Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)
G9135	Onc dx nhl stg 3-4 not relap	Description: Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage iii, iv, not relapsed, not refractory (for use in a medicare-approved demonstration project)
G9136	Onc dx nhl trans to lg bcell	Description: Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a medicare-approved demonstration project)
G9137	Onc dx nhl relapse/refractor	Description: Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a medicare-approved demonstration project)
G9138	Onc dx nhl stg unknown	Description: Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)
G9139	Onc dx cml dx status unknown	Description: Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, staging in progress, not listed (for use in a medicare-approved demonstration project)
G9140	Frontier extended stay demo	Description: Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for the cms demonstration project; the following measures should be present: the stay must be equal to or greater than 4 hours; weather or other conditions must prevent transfer or the case falls into a category of monitoring and observation cases that are permitted by the rules of the demonstration; there is a maximum frontier extended stay clinic (fesc) visit of 48 hours, except in the case when weather or other conditions prevent transfer; payment is made on each period up to 4 hours, after the first 4 hours
G9143	Warfarin respon genetic test	Description: Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)
G9147	Outpt iv insulin tx any mea	Description: Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration
G9148	Medical home level 1	Description: National committee for quality assurance - level 1 medical home
G9149	Medical home level ii	Description: National committee for quality assurance - level 2 medical home
G9150	Medical home level iii	Description: National committee for quality assurance - level 3 medical home
G9151	Mapcp demo state	Description: Mapcp demonstration - state provided services
G9152	Mapcp demo community	Description: Mapcp demonstration - community health teams
G9153	Mapcp demo physician	Description: Mapcp demonstration - physician incentive pool
G9156	Evaluation for wheelchair	Description: Evaluation for wheelchair requiring face to face visit with physician
G9157	Transesoph doppl cardiac mon	Description: Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes
G9158	Motor speech d/c status	Description: Motor speech functional limitation, discharge status, at discharge from therapy or to end reporting
G9159	Lang comp current status	Description: Spoken language comprehension functional limitation, current status at therapy episode outset and at reporting intervals
G9160	Lang comp goal status	Description: Spoken language comprehension functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9161	Lang comp d/c status	Description: Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting
G9162	Lang express current status	Description: Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals
G9163	Lang express goal status	Description: Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9164	Lang express d/c status	Description: Spoken language expression functional limitation, discharge status at discharge from therapy or to end reporting
G9165	Atten current status	Description: Attention functional limitation, current status at therapy episode outset and at reporting intervals
G9166	Atten goal status	Description: Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9167	Atten d/c status	Description: Attention functional limitation, discharge status at discharge from therapy or to end reporting
G9168	Memory current status	Description: Memory functional limitation, current status at therapy episode outset and at reporting intervals
G9169	Memory goal status	Description: Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9170	Memory d/c status	Description: Memory functional limitation, discharge status at discharge from therapy or to end reporting
G9171	Voice current status	Description: Voice functional limitation, current status at therapy episode outset and at reporting intervals
G9172	Voice goal status	Description: Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9173	Voice d/c status	Description: Voice functional limitation, discharge status at discharge from therapy or to end reporting
G9174	Speech lang current status	Description: Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals
G9175	Speech lang goal status	Description: Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9176	Speech lang d/c status	Description: Other speech language pathology functional limitation, discharge status at discharge from therapy or to end reporting
G9186	Motor speech goal status	Description: Motor speech functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting
G9187	Bpci home visit	Description: Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code
G9188	Beta not given no reason	Description: Beta-blocker therapy not prescribed, reason not given
G9189	Beta pres or already taking	Description: Beta-blocker therapy prescribed or currently being taken
G9190	Medical reason for no beta	Description: Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg, allergy, intolerance, other medical reasons)
G9191	Pt reason for no beta	Description: Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg, patient declined, other patient reasons)
G9192	System reason for no beta	Description: Documentation of system reason(s) for not prescribing beta-blocker therapy (eg, other reasons attributable to the health care system)
G9193	Doc not eligible for dep med	Description: Clinician documented that patient with a diagnosis of major depression was not an eligible candidate for antidepressant medication treatment or patient did not have a diagnosis of major depression
G9194	Mdd pt treated for 180d	Description: Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase
G9195	Mdd pt not treated for 180d	Description: Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 180 day (6 months) continuation treatment phase
G9196	Med reason for no ceph	Description: Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))
G9197	Order for ceph	Description: Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G9198	No order for ceph no reason	Description: Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given
G9199	Doc reason for no vte	Description: Venous thromboembolism (vte) prophylaxis not administered the day of or the day after hospital admission for documented reasons (eg, patient is ambulatory, patient expired during inpatient stay, patient already on warfarin or another anticoagulant, other medical reason(s) or eg, patient left against medical advice, other patient reason(s))
G9200	No reason for no vte	Description: Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given
G9201	Vte given upon admission	Description: Venous thromboembolism (vte) prophylaxis administered the day of or the day after hospital admission
G9202	Hep c aby pos	Description: Patients with a positive hepatitis c antibody test
G9203	Hep c rna done prior to med	Description: Rna testing for hepatitis c documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
G9204	No reason for no hep c rna	Description: Rna testing for hepatitis c was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
G9205	Hep c antiviral started	Description: Patient starting antiviral treatmentfor hepatitis c during the measurement period
G9206	Hep c therapy started	Description: Patient starting antiviral treatment for hepatitis c during the measurement period
G9207	Hep c genotype prior to med	Description: Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c
G9208	No reason for no hep c geno	Description: Hepatitis c genotype testing was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c, reason not given
G9209	Hep c rna 4to12 wk after med	Description: Hepatitis c quantitative rna testing documented as performed between 4-12 weeks after the initiation of antiviral treatment
G9210	No hepc rna after med docrsn	Description: Hepatitis c quantitative rna testing not performed between 4-12 weeks after the initiation of antiviral treatment for documented reason(s) (e.g., patients whose treatment was discontinued during the testing period prior to testing, other medical reasons, patient declined, other patient reasons)
G9211	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
G9212	Doc of dsm-iv init eval	Description: Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation
G9213	No doc of dsm-iv	Description: Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified
G9214	Cd4 count documented	Description: Cd4+ cell count or cd4+ cell percentage results documented
G9215	No cd4 count no reason	Description: Cd4+ cell count or percentage not documented as performed, reason not given
G9216	No pcp proph at dx no reason	Description: Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
G9217	No pcp proph low cd4 norsn	Description: Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
G9218	No pcp prop low at cd4 norsn	Description: Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given
G9219	No oder pjp for med reason	Description: Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
G9220	No order for pjp for medrsn	Description: Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
G9221	Pjp proph prescribed	Description: Pneumocystis jiroveci pneumonia prophlaxis prescribed
G9222	Pjp proph ordered low cd4	Description: Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3
G9223	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%
G9224	Medrsn no foot exam	Description: Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)
G9225	Norsn no foot exam	Description: Foot exam was not performed, reason not given
G9226	3 comp foot exam completed	Description: Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)
G9227	Foa doc, care plan not doc	Description: Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
G9228	Gc chl syp documented	Description: Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)
G9229	Ptrsn no gc chl syp test	Description: Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)
G9230	Norsn for gc chl syp test	Description: Chlamydia, gonorrhea, and syphilis not screened, reason not given
G9231	Doc esrd dia trans preg	Description: Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period
G9232	Ptrsn no comm comorbid	Description: Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)
G9233	Tkr composite	Description: All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient
G9234	Tkr intent	Description: I intend to report the total knee replacement measures group
G9235	Gs mg composite	Description: All quality actions for the applicable measures in the general surgery measures group have been performed for this patient
G9236	Op rad mg composite	Description: All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient
G9237	Gs mg intent	Description: I intend to report the general surgery measures group
G9238	Op rad mg intent	Description: I intend to report the optimizing patient exposure to ionizing radiation measures group
G9239	Doc rsn hemod & cath acc	Description: Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)
G9240	Doc pt w cath maint dia	Description: Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated
G9241	Doc pt w out cath maint dia	Description: Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated
G9242	Doc viral load >=200	Description: Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed
G9243	Doc viral load <200	Description: Documentation of viral load less than 200 copies/ml
G9244	Antiviral not ordered	Description: Antiretroviral thereapy not prescribed
G9245	Antiviral ordered	Description: Antiretroviral therapy prescribed
G9246	No enc or enc/vir ld 90days	Description: Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
G9247	2 enc enc/vir ld 90d	Description: Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart
G9248	No med visit 6mo	Description: Patient did not have a medical visit in the last 6 months
G9249	Med visit w in 6mo	Description: Patient had a medical visit in the last 6 months
G9250	Doc of pain comfort 48hr	Description: Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment
G9251	Doc no pain comfort 48hr	Description: Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment
G9252	Neo detect scrn colo	Description: Adenoma(s) or other neoplasm detected during screening colonoscopy
G9253	No neo detect scrn colo	Description: Adenoma(s) or other neoplasm not detected during screening colonoscopy
G9254	Doc pt dischg >2d	Description: Documentation of patient discharged to home later than post-operative day 2 following cea or cas
G9255	Pt dc home 2nd po day	Description: Documentation of patient discharged to home no later than post operative day 2 following cea or cas
G9256	Doc of pat death after cas	Description: Documentation of patient death following cas
G9257	Doc of pat stroke after cas	Description: Documentation of patient stroke following cas
G9258	Doc of pat stroke after cea	Description: Documentation of patient stroke following cea
G9259	Survive/no stroke post cas	Description: Documentation of patient survival and absence of stroke following cas
G9260	Doc of pat death after cea	Description: Documentation of patient death following cea
G9261	Survive/no stroke post cea	Description: Documentation of patient survival and absence of stroke following cea
G9262	Doc of death post-aaa repair	Description: Documentation of patient death in the hospital following endovascular aaa repair
G9263	Doc of disch post-aaa repair	Description: Documentation of patient discharged alive following endovascular aaa repair
G9264	Doc rsn hemod w/cath >=90d	Description: Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
G9265	Doc cath >90d for maint dia	Description: Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access
G9266	Norsn pt cath >=90d	Description: Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access
G9267	Doc comp or mort w in 30d	Description: Documentation of patient with one or more complications or mortality within 30 days
G9268	Doc comp or mort w in 90d	Description: Documentation of patient with one or more complications within 90 days
G9269	Doc no comp or mort w in 30d	Description: Documentation of patient without one or more complications and without mortality within 30 days
G9270	Doc no comp or mort w in 90d	Description: Documentation of patient without one or more complications within 90 days
G9271	Ldl under 100	Description: Ldl value < 100
G9272	Ldl 100 and over	Description: Ldl value >= 100
G9273	Sys<140 and dia<90	Description: Blood pressure has a systolic value of < 140 and a diastolic value of < 90
G9274	Bp out of nrml limits	Description: Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90
G9275	Doc of non tobacco user	Description: Documentation that patient is a current non-tobacco user
G9276	Doc of tobacco user	Description: Documentation that patient is a current tobacco user
G9277	Doc daily aspirin or contra	Description: Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)
G9278	Doc no daily aspirin	Description: Documentation that the patient is not on daily aspirin or anti-platelet regimen
G9279	Pne scrn done doc vac done	Description: Pneumococcal screening performed and documentation of vaccination received prior to discharge
G9280	Pne not given norsn	Description: Pneumococcal vaccination not administered prior to discharge, reason not specified
G9281	Pne scrn done doc not ind	Description: Screening performed and documentation that vaccination not indicated/patient refusal
G9282	Doc medrsn no histo type	Description: Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)
G9283	Hist type doc on report	Description: Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
G9284	No hist type doc on report	Description: Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation
G9285	Site not small cell lung ca	Description: Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer
G9286	Antibio rx w in 10d of sympt	Description: Antibiotic regimen prescribed within 10 days after onset of symptoms
G9287	No antibio w in 10d of sympt	Description: Antibiotic regimen not prescribed within 10 days after onset of symptoms
G9288	Doc medrsn no hist type rpt	Description: Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons)
G9289	Doc type nsm lung ca	Description: Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
G9290	No doc type nsm lung ca	Description: Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation
G9291	Not nsm lung ca	Description: Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos
G9292	Medrsn no pt category	Description: Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)
G9293	No pt category on report	Description: Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
G9294	Pt cat and thck on report	Description: Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate
G9295	Non cutaneous loc	Description: Specimen site other than anatomic cutaneous location
G9296	Doc share dec prior proc	Description: Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure
G9297	No doc share dec prior proc	Description: Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given
G9298	Eval risk vte card 30d prior	Description: Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke)
G9299	No eval risk vte card prior	Description: Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given)
G9300	Doc medrsn no compl antibio	Description: Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used)
G9301	Doc compl inf antibio	Description: Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet
G9302	Norsn incomp inf antibio	Description: Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given
G9303	Norsn no pros info op rpt	Description: Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not given
G9304	Pros info op rpt	Description: Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant
G9305	No interv req for leak	Description: Intervention for presence of leak of endoluminal contents through an anastomosis not required
G9306	Interv req for leak	Description: Intervention for presence of leak of endoluminal contents through an anastomosis required
G9307	No ret for surg w in 30d	Description: No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
G9308	Unpl ret or w/compl w/in 30d	Description: Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure
G9309	No unplnd hosp readm in 30d	Description: No unplanned hospital readmission within 30 days of principal procedure
G9310	Unplnd hosp readm in 30d	Description: Unplanned hospital readmission within 30 days of principal procedure
G9311	No surg site infection	Description: No surgical site infection
G9312	Surgical site infection	Description: Surgical site infection
G9313	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
G9314	Norsn not first line amox	Description: Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given
G9315	Amox w/wo clav rx	Description: Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis
G9316	Doc comm risk calc	Description: Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family
G9317	No doc comm risk calc	Description: Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed
G9318	Image std nomenclature	Description: Imaging study named according to standardized nomenclature
G9319	Image not std nomenclature	Description: Imaging study not named according to standardized nomenclature, reason not given
G9320	Medrsn no std nomenclature	Description: Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9321	Prev ct nuc med cnt doc 12mo	Description: Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study
G9322	No cnt ct nuc med doc 12mo	Description: Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given
G9323	Mdrsn no doc cnt of ct	Description: Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9324	Not all data norsn	Description: All necessary data elements not included, reason not given
G9325	Medrsn no ct rpt to reg	Description: Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9326	Ct done no rad ds index, nrg	Description: Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given
G9327	Ct done rad ds index	Description: Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements
G9328	Medrsn no dicom format doc	Description: Dicom format image data availability not documented in final report due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9329	Norsn no dicom format doc	Description: Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given
G9340	Dicom format doc on rpt	Description: Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study
G9341	Srch for ct w in 12 mos	Description: Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed
G9342	No srch for ct in 12mo norsn	Description: Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive, reason not given
G9343	Medrsn no dicom srch	Description: Due to medical reasons, search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9344	Sysrsn no dicom srch	Description: Due to system reasons search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system)
G9345	Follow up pulm nod	Description: Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors
G9346	No follow up pulm nod	Description: Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery)
G9347	No follow up pulm nod norsn	Description: Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given
G9348	Doc rsn for ord ct scan	Description: Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons
G9349	Ct within 28 days	Description: Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
G9350	No doc sinus ct 28d or dx	Description: Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis
G9351	Doc >1 sinus ct w 90d dx	Description: More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
G9352	Not >1 sinus ct w 90d dx	Description: More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
G9353	Medrsn >1 sinus ct w 90d dx	Description: More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
G9354	1 or no ct sinus w/in 90d dx	Description: One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
G9355	No early ind/delivery	Description: Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)
G9356	Early ind/delivery	Description: Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)
G9357	Pp eval/edu perf	Description: Post-partum screenings, evaluations and education performed

<< Previous Page Next Page >>