G codes: procedures and professional services
1,506 codes, page 1 of 8.
Other codes in this group 200
| Code | Name | Status | Hospitals with prices |
|---|---|---|---|
| HCPCS G0028 | Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) | Retired code | |
| HCPCS G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | Current code | |
| HCPCS G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | Current code | |
| HCPCS G0031 | Palliative care services given to patient any time during the measurement period | Current code | |
| HCPCS G0032 | Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics | Current code | |
| HCPCS G0033 | Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines | Current code | |
| HCPCS G0034 | Patients receiving palliative care during the measurement period | Current code | |
| HCPCS G0035 | Patient has any emergency department encounter during the performance period with place of service indicator 23 | Current code | |
| HCPCS G0036 | Patient or care partner decline assessment | Current code | |
| HCPCS G0037 | On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available | Current code | |
| HCPCS G0038 | Clinician determines patient does not require referral | Current code | |
| HCPCS G0039 | Patient not referred, reason not otherwise specified | Current code | |
| HCPCS G0040 | Patient already receiving physical/occupational/speech/recreational therapy during the measurement period | Current code | |
| HCPCS G0041 | Patient and/or care partner decline referral | Current code | |
| HCPCS G0042 | Referral to physical, occupational, speech, or recreational therapy | Current code | |
| HCPCS G0043 | Patients with mechanical prosthetic heart valve | Current code | |
| HCPCS G0044 | Patients with moderate or severe mitral stenosis | Current code | |
| HCPCS G0045 | Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention | Current code | |
| HCPCS G0046 | Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention | Current code | |
| HCPCS G0047 | Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed | Current code | |
| HCPCS G0048 | Patients who receive palliative care services any time during the intake period through the end of the measurement year | Current code | |
| HCPCS G0049 | With maintenance hemodialysis (in-center and home hd) for the complete reporting month | Current code | |
| HCPCS G0050 | Patients with a catheter that have limited life expectancy | Current code | |
| HCPCS G0051 | Patients under hospice care in the current reporting month | Current code | |
| HCPCS G0052 | Patients on peritoneal dialysis for any portion of the reporting month | Current code | |
| HCPCS G0053 | Advancing rheumatology patient care mips value pathways | Current code | |
| HCPCS G0054 | Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways | Current code | |
| HCPCS G0055 | Advancing care for heart disease mips value pathways | Current code | |
| HCPCS G0056 | Optimizing chronic disease management mips value pathways | Retired code | |
| HCPCS G0057 | Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways | Current code | |
| HCPCS G0058 | Improving care for lower extremity joint repair mips value pathways | Current code | |
| HCPCS G0059 | Patient safety and support of positive experiences with anesthesia mips value pathways | Current code | |
| HCPCS G0060 | Allergy/immunology mips specialty set | Current code | |
| HCPCS G0061 | Anesthesiology mips specialty set | Current code | |
| HCPCS G0062 | Audiology mips specialty set | Current code | |
| HCPCS G0063 | Cardiology mips specialty set | Current code | |
| HCPCS G0064 | Certified nurse midwife mips specialty set | Current code | |
| HCPCS G0065 | Chiropractic medicine mips specialty set | Current code | |
| HCPCS G0066 | Clinical social work mips specialty set | Current code | |
| HCPCS G0067 | Dentistry mips specialty set | Current code | |
| HCPCS G0122 | Colorectal cancer screening; barium enema | Retired code | 9 hospitals |
| HCPCS G0252 | Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) | Current code | 21 hospitals |
| HCPCS G0255 | Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve | Current code | 10 hospitals |
| HCPCS G0282 | Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281 | Current code | 12 hospitals |
| HCPCS G0290 | Unverified code (HCPCS Level II G-codes range) | Not in CMS's lists | 8 hospitals |
| HCPCS G0291 | Unverified code (HCPCS Level II G-codes range) | Not in CMS's lists | 8 hospitals |
| HCPCS G0295 | Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses | Current code | 12 hospitals |
| HCPCS G0310 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) | Current code | 2 hospitals |
| HCPCS G0311 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes) | Current code | 2 hospitals |
| HCPCS G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | Current code | 2 hospitals |
| HCPCS G0313 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 16-30 mins time (this code is used for medicaid billing purposes) | Current code | 2 hospitals |
| HCPCS G0314 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 16-30 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | Current code | 2 hospitals |
| HCPCS G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | Current code | 2 hospitals |
| HCPCS G0320 | Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system | Current code | |
| HCPCS G0322 | The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring) | Current code | 2 hospitals |
| HCPCS G0392 | Unverified code (HCPCS Level II G-codes range) | Not in CMS's lists | 2 hospitals |
| HCPCS G0393 | Unverified code (HCPCS Level II G-codes range) | Not in CMS's lists | 2 hospitals |
| HCPCS G0530 | Adult day center, 8-hour unit, for use in cmmi model | Current code | 11 hospitals |
| HCPCS G0531 | Facility-based respite, 24-hour unit, for use in cmmi model | Current code | 11 hospitals |
| HCPCS G0532 | Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in addition to each primary code) | Current code | 10 hospitals |
| HCPCS G0533 | Medication assisted treatment, buprenorphine (injectable) administered on a weekly basis; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | Current code | 10 hospitals |
| HCPCS G0568 | Initial psychiatric collaborative care management, in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies (list separately in addition to the advanced primary care management code) | Current code | 18 hospitals |
| HCPCS G0569 | Subsequent psychiatric collaborative care management, in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment (list separately in addition to advanced primary care management code) | Current code | 18 hospitals |
| HCPCS G0570 | Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code) | Current code | 15 hospitals |
| HCPCS G0571 | Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) | Current code | |
| HCPCS G0574 | Management of new patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided) | Current code | |
| HCPCS G0575 | Management of established patient with dementia residing in an eligible residential care community, for use only in a medicare-approved cmmi model (services must be furnished within a patient's eligible residential care community, including assisted living facilities, board and care homes, or other qualifying residential settings where dementia care services are provided) | Current code | |
| HCPCS G0577 | Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction performed in the non-facility setting | Current code | |
| HCPCS G0660 | Team remote e/m new pt 10mins | Current code | |
| HCPCS G0661 | Team remote e/m new pt 20mins | Current code | |
| HCPCS G0662 | Team remote e/m new pt 30 mins | Current code | |
| HCPCS G0663 | Team remote e/m new pt 45mins | Current code | |
| HCPCS G0664 | Team remote e/m new pt 60mins | Current code | |
| HCPCS G0665 | Team remote e/m est. pt 10mins | Current code | |
| HCPCS G0666 | Team remote e/m est. pt 15mins | Current code | |
| HCPCS G0667 | Team remote e/m est. pt 25mins | Current code | |
| HCPCS G0668 | Team remote e/m est. pt 40mins | Current code | |
| HCPCS G0669 | Outcome-aligned payment (oap) for technology-enabled chronic care management of early cardio-kidney-metabolic (eckm) conditions (hypertension, or two or more of: dyslipidemia, obesity/overweight with central obesity marker, prediabetes); initial 12-month period; per month | Current code | |
| HCPCS G0670 | Outcome-aligned payment (oap) for technology-enabled chronic care management of early cardio-kidney-metabolic (eckm) conditions (hypertension, or two or more of: dyslipidemia, obesity/overweight with central obesity marker, prediabetes); follow-on 12-month period; per month | Current code | |
| HCPCS G0671 | Outcome-aligned payment (oap) for technology-enabled chronic care management of cardio-kidney-metabolic (ckm) conditions (one or more of: diabetes mellitus, chronic kidney disease stage 3a or 3b, atherosclerotic cardiovascular disease); initial 12-month period; per month | Current code | |
| HCPCS G0672 | Outcome-aligned payment (oap) for technology-enabled chronic care management of cardio-kidney-metabolic (ckm) conditions (one or more of: diabetes mellitus, chronic kidney disease stage 3a or 3b, atherosclerotic cardiovascular disease); follow-on 12-month period; per month | Current code | |
| HCPCS G0673 | Outcome-aligned payment (oap) for technology-enabled chronic care management of musculoskeletal (msk) conditions (chronic musculoskeletal pain); initial 12-month treatment period; per month | Current code | |
| HCPCS G0674 | Outcome-aligned payment (oap) for technology-enabled chronic care management of behavioral health (bh) conditions (one or more of: depression, anxiety); initial 12-month period; per month | Current code | |
| HCPCS G0675 | Outcome-aligned payment (oap) for technology-enabled chronic care management of behavioral health (bh) conditions (one or more of: depression, anxiety); follow-on 12-month period; per month | Current code | |
| HCPCS G0676 | Standard co-management service payment for documented review of clinical updates from access participant managing cardio-kidney-metabolic conditions (early cardio-kidney-metabolic [eckm] or cardio-kidney-metabolic [ckm] track); per review | Current code | |
| HCPCS G0677 | Standard co-management service payment for documented review of clinical updates from access participant managing musculoskeletal (msk) conditions; per review | Current code | |
| HCPCS G0678 | Standard co-management service payment for documented review of clinical updates from access participant managing behavioral health (bh) conditions (depression, anxiety); per review | Current code | |
| HCPCS G0680 | Detection and quantification of coronary artery calcium and/or aortic valve calcification from algorithmic analysis of computed tomography of the chest with report | Current code | 10 hospitals |
| HCPCS G0681 | Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; first 25 sq cm or less of wound surface area | Current code | |
| HCPCS G0682 | Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) | Current code | |
| HCPCS G0683 | Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children | Current code | |
| HCPCS G0684 | Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) | Current code | |
| HCPCS G0685 | Algorithm-based assessment of likelihood of autism spectrum disorder (asd), derived from validated analysis of eye-gaze data or other technology | Current code | |
| HCPCS G0908 | Most recent hemoglobin (hgb) level > 12.0 g/dl | Retired code | |
| HCPCS G0909 | Hemoglobin level measurement not documented, reason not given | Retired code | |
| HCPCS G0910 | Most recent hemoglobin level <= 12.0 g/dl | Retired code | |
| HCPCS G0913 | Improvement in visual function achieved within 90 days following cataract surgery | Current code | |
| HCPCS G0914 | Patient care survey was not completed by patient | Current code | |
| HCPCS G0915 | Improvement in visual function not achieved within 90 days following cataract surgery | Current code | |
| HCPCS G0916 | Satisfaction with care achieved within 90 days following cataract surgery | Current code | |
| HCPCS G0917 | Patient care survey was not completed by patient | Current code | |
| HCPCS G0918 | Satisfaction with care not achieved within 90 days following cataract surgery | Current code | |
| HCPCS G0919 | Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit | Retired code | |
| HCPCS G0920 | Type, anatomic location, and activity all documented | Retired code | |
| HCPCS G0921 | Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment) | Retired code | |
| HCPCS G0922 | No documentation of disease type, anatomic location, and activity, reason not given | Retired code | |
| HCPCS G1000 | Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1001 | Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1002 | Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1003 | Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1005 | Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1006 | Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1007 | Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1008 | Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1009 | Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1011 | Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1013 | Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1014 | Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1016 | Clinical decision support mechanism speed of care, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1017 | Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1018 | Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1019 | Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1020 | Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1021 | Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1022 | Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1023 | Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1024 | Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program | Retired code | |
| HCPCS G1025 | Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month | Current code | |
| HCPCS G1026 | The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month | Current code | |
| HCPCS G1027 | The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months | Current code | |
| HCPCS G2021 | Health care practitioners rendering treatment in place (tip) | Current code | |
| HCPCS G2022 | A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) | Current code | |
| HCPCS G2072 | Medication assisted treatment, buprenorphine (implant insertion and removal); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | Retired code | |
| HCPCS G2075 | Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | Current code | |
| HCPCS G2081 | Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | Current code | |
| HCPCS G2089 | Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% | Retired code | |
| HCPCS G2090 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2091 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2092 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken | Current code | |
| HCPCS G2093 | Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., hypotensive patients who are at immediate risk of cardiogenic shock, hospitalized patients who have experienced marked azotemia, allergy, intolerance, other medical reasons) | Current code | |
| HCPCS G2094 | Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons) | Current code | |
| HCPCS G2095 | Documentation of system reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., other system reasons) | Retired code | |
| HCPCS G2096 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given | Current code | |
| HCPCS G2097 | Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis, infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti) | Current code | |
| HCPCS G2098 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2099 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2100 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2101 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | Retired code | |
| HCPCS G2103 | Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed | Retired code | |
| HCPCS G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | Retired code | |
| HCPCS G2105 | Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | Current code | |
| HCPCS G2106 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2107 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2108 | Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | Retired code | |
| HCPCS G2109 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2110 | Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2112 | Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is worsening, or glucocorticoid use is for less than 6 months | Current code | |
| HCPCS G2113 | Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months, and improvement or no change in disease activity | Current code | |
| HCPCS G2114 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2115 | Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2116 | Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2117 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2118 | Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period | Current code | |
| HCPCS G2119 | Within the past 2 years, calcium and/or vitamin d optimization has been ordered or performed | Retired code | |
| HCPCS G2120 | Within the past 2 years, calcium and/or vitamin d optimization has not been ordered or performed | Retired code | |
| HCPCS G2121 | Depression, anxiety, apathy, and psychosis assessed | Current code | |
| HCPCS G2122 | Depression, anxiety, apathy, and psychosis not assessed | Current code | |
| HCPCS G2123 | Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2124 | Patients 66-80 years of age and had at least one claim/encounter for frailty during the measurement period and a dispensed dementia medication | Retired code | |
| HCPCS G2125 | Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through december 31 of the measurement period | Current code | |
| HCPCS G2126 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2127 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Current code | |
| HCPCS G2128 | Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed, blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period) | Current code | |
| HCPCS G2129 | Procedure-related bp's not taken during an outpatient visit. examples include same day surgery, ambulatory service center, g.i. lab, dialysis, infusion center, chemotherapy | Current code | |
| HCPCS G2130 | Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 days during the measurement period | Retired code | |
| HCPCS G2131 | Patients 81 years and older with a diagnosis of frailty | Retired code | |
| HCPCS G2132 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2133 | Patients 66-80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2134 | Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2135 | Patients 66 years of age or older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | Retired code | |
| HCPCS G2136 | Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater | Current code | |
| HCPCS G2137 | Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points | Current code | |
| HCPCS G2138 | Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater | Current code | |
| HCPCS G2139 | Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points | Current code | |
| HCPCS G2140 | Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater | Current code | |
| HCPCS G2141 | Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated improvement of less than 5.0 points | Current code | |
| HCPCS G2142 | Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greater | Current code | |
| HCPCS G2143 | Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of less than 30 points | Current code | |
| HCPCS G2144 | Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6-20 weeks) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at three months (6-20 weeks) postoperatively demonstrated an improvement of 30 points or greater | Current code | |
| HCPCS G2145 | Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points | Current code | |
| HCPCS G2146 | Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater | Current code | |
| HCPCS G2147 | Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points | Current code | |
| HCPCS G2148 | Multimodal pain management was used | Current code | |
| HCPCS G2149 | Documentation of medical reason(s) for not using multimodal pain management (e.g., allergy to multiple classes of analgesics, intubated patient, hepatic failure, patient reports no pain during pacu stay, other medical reason(s)) | Current code | |
| HCPCS G2150 | Multimodal pain management was not used | Current code | |
| HCPCS G2151 | Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care | Current code | |
| HCPCS G2152 | Residual score for the neck impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | Current code | |
| HCPCS G2153 | In hospice or using hospice services during the measurement period | Retired code | |
| HCPCS G2154 | Patient received at least one td vaccine or one tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period | Retired code |