G codes: procedures and professional services

1,506 codes, page 3 of 8.

Other codes in this group 200

Other codes in this group codes
CodeNameStatusHospitals with prices
HCPCS G8593Lipid profile results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)Retired codenone yet
HCPCS G8594Lipid profile not performed, reason not givenRetired codenone yet
HCPCS G8595Most recent ldl-c < 100 mg/dlRetired codenone yet
HCPCS G8597Most recent ldl-c >= 100 mg/dlRetired codenone yet
HCPCS G8598Aspirin or another antiplatelet therapy usedCurrent codenone yet
HCPCS G8599Aspirin or another antiplatelet therapy not used, reason not givenCurrent codenone yet
HCPCS G8600Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known wellCurrent codenone yet
HCPCS G8601Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)Current codenone yet
HCPCS G8602Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not givenCurrent codenone yet
HCPCS G8627Surgical procedure performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)Retired codenone yet
HCPCS G8628Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g., retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)Retired codenone yet
HCPCS G8629Documentation of order for prophylactic parenteral antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)Retired codenone yet
HCPCS G8630Documentation that administration of prophylactic parenteral antibiotics was initiated within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required), as orderedRetired codenone yet
HCPCS G8631Clinician documented that patient was not an eligible candidate for ordering prophylactic parenteral antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)Retired codenone yet
HCPCS G8632Prophylactic parenteral antibiotics were not ordered to be given or given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required), reason not givenRetired codenone yet
HCPCS G8633Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribedCurrent codenone yet
HCPCS G8634Clinician documented patient not an eligible candidate to receive pharmacologic therapy for osteoporosisRetired codenone yet
HCPCS G8635Pharmacologic therapy for osteoporosis was not prescribed, reason not givenCurrent codenone yet
HCPCS G8645I intend to report the asthma measures groupRetired codenone yet
HCPCS G8646All quality actions for the applicable measures in the asthma measures group have been performed for this patientRetired codenone yet
HCPCS G8647Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Current codenone yet
HCPCS G8648Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8649Risk-adjusted functional status change residual score for the knee impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8650Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8651Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Current codenone yet
HCPCS G8652Residual score for the hip impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8653Risk-adjusted functional status change residual scores for the hip impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8654Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8655Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)Current codenone yet
HCPCS G8656Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8657Risk-adjusted functional status change residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8658Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8659Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Current codenone yet
HCPCS G8660Residual score for the low back impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8661Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateCurrent codenone yet
HCPCS G8662Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8663Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Current codenone yet
HCPCS G8664Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8665Risk-adjusted functional status change residual score for the shoulder impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8666Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8667Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Current codenone yet
HCPCS G8668Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)Current codenone yet
HCPCS G8669Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8670Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not givenCurrent codenone yet
HCPCS G8671Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)Retired codenone yet
HCPCS G8672Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< 0)Retired codenone yet
HCPCS G8673Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriateRetired codenone yet
HCPCS G8674Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general orthopedic fs prom at initial evaluation and/or near discharge, reason not givenRetired codenone yet
HCPCS G8682Lvf testing documented as being performed prior to discharge or in the previous 12 monthsRetired codenone yet
HCPCS G8683Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reasonRetired codenone yet
HCPCS G8685Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not givenRetired codenone yet
HCPCS G8694Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsdCurrent codenone yet
HCPCS G8696Antithrombotic therapy prescribed at dischargeRetired codenone yet
HCPCS G8697Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))Retired codenone yet
HCPCS G8698Antithrombotic therapy was not prescribed at discharge, reason not givenRetired codenone yet
HCPCS G8699Rehabilitation services (occupational, physical or speech) ordered at or prior to dischargeRetired codenone yet
HCPCS G8700Rehabilitation services (occupational, physical or speech) not indicated at or prior to dischargeRetired codenone yet
HCPCS G8701Rehabilitation services were not ordered, reason not otherwise specifiedRetired codenone yet
HCPCS G8702Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperativelyRetired codenone yet
HCPCS G8703Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperativelyRetired codenone yet
HCPCS G870412-lead electrocardiogram (ecg) performedRetired codenone yet
HCPCS G8705Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg)Retired codenone yet
HCPCS G8706Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg)Retired codenone yet
HCPCS G870712-lead electrocardiogram (ecg) not performed, reason not givenRetired codenone yet
HCPCS G8708Patient not prescribed antibioticCurrent codenone yet
HCPCS G8709Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/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, and acne)Current codenone yet
HCPCS G8710Patient prescribed antibioticCurrent codenone yet
HCPCS G8711Prescribed antibiotic on or within 3 days after the episode dateCurrent codenone yet
HCPCS G8712Antibiotic not prescribed or dispensedCurrent codenone yet
HCPCS G8713Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])Retired codenone yet
HCPCS G8714Hemodialysis treatment performed exactly three times per week for > 90 daysRetired codenone yet
HCPCS G8717Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not givenRetired codenone yet
HCPCS G8718Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])Retired codenone yet
HCPCS G8720Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])Retired codenone yet
HCPCS G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology reportCurrent codenone yet
HCPCS G8722Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)Current codenone yet
HCPCS G8723Specimen site is other than anatomic location of primary tumorCurrent codenone yet
HCPCS G8724Pt category, pn category and histologic grade were not documented in the pathology report, reason not givenCurrent codenone yet
HCPCS G8725Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)Retired codenone yet
HCPCS G8726Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)Retired codenone yet
HCPCS G8728Fasting lipid profile not performed, reason not givenRetired codenone yet
HCPCS G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documentedRetired codenone yet
HCPCS G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan requiredRetired codenone yet
HCPCS G8732No documentation of pain assessment, reason not givenRetired codenone yet
HCPCS G8733Elder maltreatment screen documented as positive and a follow-up plan is documentedCurrent codenone yet
HCPCS G8734Elder maltreatment screen documented as negative, follow-up is not requiredCurrent codenone yet
HCPCS G8735Elder maltreatment screen documented as positive, follow-up plan not documented, reason not givenCurrent codenone yet
HCPCS G8736Most current ldl-c <100mg/dlRetired codenone yet
HCPCS G8737Most current ldl-c >=100mg/dlRetired codenone yet
HCPCS G8738Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic functionRetired codenone yet
HCPCS G8739Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic functionRetired codenone yet
HCPCS G8740Left ventricular ejection fraction (lvef) not performed or assessed, reason not givenRetired codenone yet
HCPCS G8749Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)Current codenone yet
HCPCS G8751Smoking status and exposure to second hand smoke in the home not assessed, reason not givenRetired codenone yet
HCPCS G8752Most recent systolic blood pressure < 140 mmhgCurrent codenone yet
HCPCS G8753Most recent systolic blood pressure >= 140 mmhgCurrent codenone yet
HCPCS G8754Most recent diastolic blood pressure < 90 mmhgCurrent codenone yet
HCPCS G8755Most recent diastolic blood pressure >= 90 mmhgCurrent codenone yet
HCPCS G8756No documentation of blood pressure measurement, reason not givenCurrent codenone yet
HCPCS G8757All quality actions for the applicable measures in the chronic obstructive pulmonary disease (copd) measures group have been performed for this patientRetired codenone yet
HCPCS G8758All quality actions for the applicable measures in the inflammatory bowel disease (ibd) measures group have been performed for this patientRetired codenone yet
HCPCS G8759All quality actions for the applicable measures in the sleep apnea measures group have been performed for this patientRetired codenone yet
HCPCS G8761All quality actions for the applicable measures in the dementia measures group have been performed for this patientRetired codenone yet
HCPCS G8762All quality actions for the applicable measures in the parkinson's disease measures group have been performed for this patientRetired codenone yet
HCPCS G8763All quality actions for the applicable measures in the hypertension (htn) measures group have been performed for this patientRetired codenone yet
HCPCS G8764All quality actions for the applicable measures in the cardiovascular prevention measures group have bee performed for this patientRetired codenone yet
HCPCS G8765All quality actions for the applicable measures in the cataract measures group have been performed for this patientRetired codenone yet
HCPCS G8767Lipid panel results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)Retired codenone yet
HCPCS G8768Documentation 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)Retired codenone yet
HCPCS G8769Lipid profile not performed, reason not givenRetired codenone yet
HCPCS G8770Urine protein test result documented and reviewedRetired codenone yet
HCPCS G8771Documentation of diagnosis of chronic kidney diseaseRetired codenone yet
HCPCS G8772Documentation 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)Retired codenone yet
HCPCS G8773Urine protein test was not performed, reason not givenRetired codenone yet
HCPCS G8774Serum creatinine test result documented and reviewedRetired codenone yet
HCPCS G8775Documentation 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)Retired codenone yet
HCPCS G8776Serum creatinine test not performed, reason not givenRetired codenone yet
HCPCS G8777Diabetes screening test performedRetired codenone yet
HCPCS G8778Documentation 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)Retired codenone yet
HCPCS G8779Diabetes screening test not performed, reason not givenRetired codenone yet
HCPCS G8780Counseling for diet and physical activity performedRetired codenone yet
HCPCS G8781Documentation 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)Retired codenone yet
HCPCS G8782Counseling for diet and physical activity not performed, reason not givenRetired codenone yet
HCPCS G8783Normal blood pressure reading documented, follow-up not requiredCurrent codenone yet
HCPCS G8784Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)Retired codenone yet
HCPCS G8785Blood pressure reading not documented, reason not givenCurrent codenone yet
HCPCS G8797Specimen site other than anatomic location of esophagusCurrent codenone yet
HCPCS G8798Specimen site other than anatomic location of prostateCurrent codenone yet
HCPCS G8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documentedCurrent codenone yet
HCPCS G8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])Current codenone yet
HCPCS G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not givenCurrent codenone yet
HCPCS G8809Rh-immunoglobulin (rhogam) orderedRetired codenone yet
HCPCS G8810Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)Retired codenone yet
HCPCS G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not givenRetired codenone yet
HCPCS G8815Documented 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)Current codenone yet
HCPCS G8816Statin medication prescribed at dischargeCurrent codenone yet
HCPCS G8817Statin therapy not prescribed at discharge, reason not givenCurrent codenone yet
HCPCS G8818Patient discharge to home no later than post-operative day #7Retired codenone yet
HCPCS G8825Patient not discharged to home by post-operative day #7Retired codenone yet
HCPCS G8826Patient discharged to home no later than post-operative day #2 following evarCurrent codenone yet
HCPCS G8833Patient not discharged to home by post-operative day #2 following evarCurrent codenone yet
HCPCS G8834Patient discharged to home no later than post-operative day #2 following ceaCurrent codenone yet
HCPCS G8838Patient not discharged to home by post-operative day #2 following ceaCurrent codenone yet
HCPCS G8839Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepinessCurrent codenone yet
HCPCS G8840Documentation 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)Current codenone yet
HCPCS G8841Sleep apnea symptoms not assessed, reason not givenCurrent codenone yet
HCPCS G8842Apnea 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 apneaCurrent codenone yet
HCPCS G8843Documentation 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)Current codenone yet
HCPCS G8844Apnea 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 givenCurrent codenone yet
HCPCS G8845Positive airway pressure therapy prescribedCurrent codenone yet
HCPCS G8846Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)Current codenone yet
HCPCS G8848Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15)Retired codenone yet
HCPCS G8849Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)Current codenone yet
HCPCS G8850Positive airway pressure therapy not prescribed, reason not givenCurrent codenone yet
HCPCS G8851Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)Current codenone yet
HCPCS G8852Positive airway pressure therapy was prescribedRetired codenone yet
HCPCS G8853Positive airway pressure therapy not prescribedRetired codenone yet
HCPCS G8854Documentation 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)Current codenone yet
HCPCS G8855Adherence 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 givenCurrent codenone yet
HCPCS G8856Referral to a physician for an otologic evaluation performedCurrent codenone yet
HCPCS G8857Patient 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)Current codenone yet
HCPCS G8858Referral to a physician for an otologic evaluation not performed, reason not givenCurrent codenone yet
HCPCS G8859Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive daysRetired codenone yet
HCPCS G8860Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive daysRetired codenone yet
HCPCS G8861Within 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 prescribedRetired codenone yet
HCPCS G8862Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive daysRetired codenone yet
HCPCS G8863Patients not assessed for risk of bone loss, reason not givenCurrent codenone yet
HCPCS G8864Pneumococcal vaccine administered or previously receivedCurrent codenone yet
HCPCS G8865Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)Current codenone yet
HCPCS G8866Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)Current codenone yet
HCPCS G8867Pneumococcal vaccine not administered or previously received, reason not givenCurrent codenone yet
HCPCS G8868Patients receiving a first course of anti-tnf therapyRetired codenone yet
HCPCS G8869Patient has documented immunity to hepatitis b and initiating anti-tnf therapyCurrent codenone yet
HCPCS G8870Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapyRetired codenone yet
HCPCS G8871Patient not receiving a first course of anti-tnf therapyRetired codenone yet
HCPCS G8872Excised tissue evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesionRetired codenone yet
HCPCS G8873Patients 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)Retired codenone yet
HCPCS G8874Excised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesionRetired codenone yet
HCPCS G8875Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy methodCurrent codenone yet
HCPCS G8876Documentation 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)Current codenone yet
HCPCS G8877Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not givenCurrent codenone yet
HCPCS G8878Sentinel lymph node biopsy procedure performedCurrent codenone yet
HCPCS G8879Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancerRetired codenone yet
HCPCS G8880Documentation 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)Current codenone yet
HCPCS G8881Stage of breast cancer is greater than t1n0m0 or t2n0m0Current codenone yet
HCPCS G8882Sentinel lymph node biopsy procedure not performed, reason not givenCurrent codenone yet
HCPCS G8883Biopsy results reviewed, communicated, tracked and documentedRetired codenone yet
HCPCS G8884Clinician documented reason that patient's biopsy results were not reviewedRetired codenone yet
HCPCS G8885Biopsy results not reviewed, communicated, tracked or documentedRetired codenone yet
HCPCS G8886Most recent blood pressure under controlRetired codenone yet
HCPCS G8887Documentation 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)Retired codenone yet
HCPCS G8888Most recent blood pressure not under control, results documented and reviewedRetired codenone yet
HCPCS G8889No documentation of blood pressure measurement, reason not givenRetired codenone yet
HCPCS G8890Most recent ldl-c under control, results documented and reviewedRetired codenone yet
HCPCS G8891Documentation 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)Retired codenone yet
HCPCS G8892Documentation 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)Retired codenone yet
HCPCS G8893Most recent ldl-c not under control, results documented and reviewedRetired codenone yet
HCPCS G8894Ldl-c not performed, reason not givenRetired codenone yet
HCPCS G8895Oral aspirin or other antithrombotic therapy prescribedRetired codenone yet
HCPCS G8896Documentation 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)Retired codenone yet