Default Fee Schedules Part 3

Code Price Type Description
E2394 0 HCPCS / CPT® DRIVE WHEEL EXCLUDES TIRE
E2395 0 HCPCS / CPT® CASTER WHEEL EXCLUDES TIRE
E2396 0 HCPCS / CPT® CASTER FORK
E2397 0 HCPCS / CPT® PWC ACC, LITH-BASED BATTERY
E2402 0 HCPCS / CPT® NEG PRESS WOUND THERAPY PUMP
E2500 0 HCPCS / CPT® SGD DIGITIZED PRE-REC <=8MIN
E2502 0 HCPCS / CPT® SGD PREREC MSG >8MIN <=20MIN
E2504 0 HCPCS / CPT® SGD PREREC MSG>20MIN <=40MIN
E2506 0 HCPCS / CPT® SGD PREREC MSG > 40 MIN
E2508 0 HCPCS / CPT® SGD SPELLING PHYS CONTACT
E2510 0 HCPCS / CPT® SGD W MULTI METHODS MSG/ACCS
E2511 0 HCPCS / CPT® SGD SFTWRE PRGRM FOR PC/PDA
E2512 0 HCPCS / CPT® SGD ACCESSORY, MOUNTING SYS
E2599 0 HCPCS / CPT® SGD ACCESSORY NOC
E2601 0 HCPCS / CPT® GEN W/C CUSHION WDTH < 22 IN
E2602 0 HCPCS / CPT® GEN W/C CUSHION WDTH >=22 IN
E2603 0 HCPCS / CPT® SKIN PROTECT WC CUS WD <22IN
E2604 0 HCPCS / CPT® SKIN PROTECT WC CUS WD>=22IN
E2605 0 HCPCS / CPT® POSITION WC CUSH WDTH <22 IN
E2606 0 HCPCS / CPT® POSITION WC CUSH WDTH>=22 IN
E2607 0 HCPCS / CPT® SKIN PRO/POS WC CUS WD <22IN
E2608 0 HCPCS / CPT® SKIN PRO/POS WC CUS WD>=22IN
E2609 0 HCPCS / CPT® CUSTOM FABRICATE W/C CUSHION
E2610 0 HCPCS / CPT® POWERED W/C CUSHION
E2611 0 HCPCS / CPT® GEN USE BACK CUSH WDTH <22IN
E2612 0 HCPCS / CPT® GEN USE BACK CUSH WDTH>=22IN
E2613 0 HCPCS / CPT® POSITION BACK CUSH WD <22IN
E2614 0 HCPCS / CPT® POSITION BACK CUSH WD>=22IN
E2615 0 HCPCS / CPT® POS BACK POST/LAT WDTH <22IN
E2616 0 HCPCS / CPT® POS BACK POST/LAT WDTH>=22IN
E2617 0 HCPCS / CPT® CUSTOM FAB W/C BACK CUSHION
E2619 0 HCPCS / CPT® REPLACE COVER W/C SEAT CUSH
E2620 0 HCPCS / CPT® WC PLANAR BACK CUSH WD <22IN
E2621 0 HCPCS / CPT® WC PLANAR BACK CUSH WD>=22IN
E2622 0 HCPCS / CPT® ADJ SKIN PRO W/C CUS WD<22IN
E2623 0 HCPCS / CPT® ADJ SKIN PRO WC CUS WD>=22IN
E2624 0 HCPCS / CPT® ADJ SKIN PRO/POS CUS<22IN
E2625 0 HCPCS / CPT® ADJ SKIN PRO/POS WC CUS>=22
E2626 0 HCPCS / CPT® SEO MOBILE ARM SUP ATT TO WC
E2627 0 HCPCS / CPT® ARM SUPP ATT TO WC RANCHO TY
E2628 0 HCPCS / CPT® MOBILE ARM SUPPORTS RECLININ
E2629 0 HCPCS / CPT® FRICTION DAMPENING ARM SUPP
E2630 0 HCPCS / CPT® MONOSUSPENSION ARM/HAND SUPP
E2631 0 HCPCS / CPT® ELEVAT PROXIMAL ARM SUPPORT
E2632 0 HCPCS / CPT® OFFSET/LAT ROCKER ARM W/ELA
E2633 0 HCPCS / CPT® MOBILE ARM SUPPORT SUPINATOR
E8000 0 HCPCS / CPT® POSTERIOR GAIT TRAINER
E8001 0 HCPCS / CPT® UPRIGHT GAIT TRAINER
E8002 0 HCPCS / CPT® ANTERIOR GAIT TRAINER
G0008 0 HCPCS / CPT® ADMIN INFLUENZA VIRUS VAC
G0009 82 HCPCS / CPT® ADMIN PNEUMOCOCCAL VACCINE
G0010 0 HCPCS / CPT® ADMIN HEPATITIS B VACCINE
G0027 0 HCPCS / CPT® SEMEN ANALYSIS
G0101 0 HCPCS / CPT® CA SCREEN;PELVIC/BREAST EXAM
G0102 0 HCPCS / CPT® PROSTATE CA SCREENING; DRE
G0103 0 HCPCS / CPT® PSA SCREENING
G0104 0 HCPCS / CPT® CA SCREEN;FLEXI SIGMOIDSCOPE
G0105 0 HCPCS / CPT® COLORECTAL SCRN; HI RISK IND
G0106 0 HCPCS / CPT® COLON CA SCREEN;BARIUM ENEMA
G0108 0 HCPCS / CPT® DIAB MANAGE TRN PER INDIV
G0109 0 HCPCS / CPT® DIAB MANAGE TRN IND/GROUP
G0117 0 HCPCS / CPT® GLAUCOMA SCRN HGH RISK DIREC
G0118 0 HCPCS / CPT® GLAUCOMA SCRN HGH RISK DIREC
G0120 0 HCPCS / CPT® COLON CA SCRN; BARIUM ENEMA
G0121 0 HCPCS / CPT® COLON CA SCRN NOT HI RSK IND
G0122 0 HCPCS / CPT® COLON CA SCRN; BARIUM ENEMA
G0123 0 HCPCS / CPT® SCREEN CERV/VAG THIN LAYER
G0124 0 HCPCS / CPT® SCREEN C/V THIN LAYER BY MD
G0127 0 HCPCS / CPT® TRIM NAIL(S)
G0128 0 HCPCS / CPT® CORF SKILLED NURSING SERVICE
G0129 0 HCPCS / CPT® PARTIAL HOSP PROG SERVICE
G0130 0 HCPCS / CPT® SINGLE ENERGY X-RAY STUDY
G0141 0 HCPCS / CPT® SCR C/V CYTO,AUTOSYS AND MD
G0143 0 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0144 0 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0145 0 HCPCS / CPT® SCR C/V CYTO,THINLAYER,RESCR
G0147 0 HCPCS / CPT® SCR C/V CYTO, AUTOMATED SYS
G0148 0 HCPCS / CPT® SCR C/V CYTO, AUTOSYS, RESCR
G0151 0 HCPCS / CPT® HHCP-SERV OF PT,EA 15 MIN
G0152 0 HCPCS / CPT® HHCP-SERV OF OT,EA 15 MIN
G0153 0 HCPCS / CPT® HHCP-SVS OF S/L PATH,EA 15MN
G0155 0 HCPCS / CPT® HHCP-SVS OF CSW,EA 15 MIN
G0156 0 HCPCS / CPT® HHCP-SVS OF AIDE,EA 15 MIN
G0157 0 HCPCS / CPT® HHC PT ASSISTANT EA 15
G0158 0 HCPCS / CPT® HHC OT ASSISTANT EA 15
G0159 0 HCPCS / CPT® HHC PT MAINT EA 15 MIN
G0160 0 HCPCS / CPT® HHC OCCUP THERAPY EA 15
G0161 0 HCPCS / CPT® HHC SLP EA 15 MIN
G0162 0 HCPCS / CPT® HHC RN E&M PLAN SVS, 15 MIN
G0166 0 HCPCS / CPT® EXTRNL COUNTERPULSE, PER TX
G0168 28 HCPCS / CPT® Dermabond
G0175 0 HCPCS / CPT® OPPS SERVICE,SCHED TEAM CONF
G0176 0 HCPCS / CPT® OPPS/PHP;ACTIVITY THERAPY
G0177 0 HCPCS / CPT® OPPS/PHP; TRAIN & EDUC SERV
G0179 0 HCPCS / CPT® MD RECERTIFICATION HHA PT
G0180 0 HCPCS / CPT® MD CERTIFICATION HHA PATIENT
G0181 0 HCPCS / CPT® HOME HEALTH CARE SUPERVISION
G0182 0 HCPCS / CPT® HOSPICE CARE SUPERVISION
G0186 0 HCPCS / CPT® DSTRY EYE LESN,FDR VSSL TECH
G0202 0 HCPCS / CPT® SCR MAMMO BI INCL CAD
G0204 0 HCPCS / CPT® DX MAMMO INCL CAD BI
G0206 0 HCPCS / CPT® DX MAMMO INCL CAD UNI
G0219 0 HCPCS / CPT® PET IMG WHOLBOD MELANO NONCO
G0235 0 HCPCS / CPT® PET NOT OTHERWISE SPECIFIED
G0237 0 HCPCS / CPT® THERAPEUTIC PROCD STRG ENDUR
G0238 0 HCPCS / CPT® OTH RESP PROC, INDIV
G0239 0 HCPCS / CPT® OTH RESP PROC, GROUP
G0245 0 HCPCS / CPT® INITIAL FOOT EXAM PT LOPS
G0246 0 HCPCS / CPT® FOLLOWUP EVAL OF FOOT PT LOP
G0247 0 HCPCS / CPT® ROUTINE FOOTCARE PT W LOPS
G0248 0 HCPCS / CPT® DEMONSTRATE USE HOME INR MON
G0249 0 HCPCS / CPT® PROVIDE INR TEST MATER/EQUIP
G0250 0 HCPCS / CPT® MD INR TEST REVIE INTER MGMT
G0252 0 HCPCS / CPT® PET IMAGING INITIAL DX
G0255 0 HCPCS / CPT® CURRENT PERCEP THRESHOLD TST
G0257 0 HCPCS / CPT® UNSCHED DIALYSIS ESRD PT HOS
G0259 0 HCPCS / CPT® INJECT FOR SACROILIAC JOINT
G0260 0 HCPCS / CPT® INJ FOR SACROILIAC JT ANESTH
G0268 0 HCPCS / CPT® REMOVAL OF IMPACTED WAX MD
G0269 0 HCPCS / CPT® OCCLUSIVE DEVICE IN VEIN ART
G0270 0 HCPCS / CPT® MNT SUBS TX FOR CHANGE DX
G0271 0 HCPCS / CPT® GROUP MNT 2 OR MORE 30 MINS
G0276 0 HCPCS / CPT® PILD/PLACEBO CONTROL CLIN TR
G0277 0 HCPCS / CPT® HBOT, FULL BODY CHAMBER, 30M
G0278 0 HCPCS / CPT® ILIAC ART ANGIO,CARDIAC CATH
G0279 0 HCPCS / CPT® TOMOSYNTHESIS, MAMMO
G0281 0 HCPCS / CPT® ELEC STIM UNATTEND FOR PRESS
G0282 0 HCPCS / CPT® ELECT STIM WOUND CARE NOT PD
G0283 0 HCPCS / CPT® ELEC STIM OTHER THAN WOUND
G0288 0 HCPCS / CPT® RECON, CTA FOR SURG PLAN
G0289 0 HCPCS / CPT® ARTHRO, LOOSE BODY + CHONDRO
G0293 0 HCPCS / CPT® NON-COV SURG PROC,CLIN TRIAL
G0294 0 HCPCS / CPT® NON-COV PROC, CLINICAL TRIAL
G0295 0 HCPCS / CPT® ELECTROMAGNETIC THERAPY ONC
G0296 0 HCPCS / CPT® VISIT TO DETERM LDCT ELIG
G0297 0 HCPCS / CPT® LDCT FOR LUNG CA SCREEN
G0299 0 HCPCS / CPT® HHS/HOSPICE OF RN EA 15 MIN
G0300 0 HCPCS / CPT® HHS/HOSPICE OF LPN EA 15 MIN
G0302 0 HCPCS / CPT® PRE-OP SERVICE LVRS COMPLETE
G0303 0 HCPCS / CPT® PRE-OP SERVICE LVRS 10-15DOS
G0304 0 HCPCS / CPT® PRE-OP SERVICE LVRS 1-9 DOS
G0305 0 HCPCS / CPT® POST OP SERVICE LVRS MIN 6
G0306 0 HCPCS / CPT® CBC/DIFFWBC W/O PLATELET
G0307 0 HCPCS / CPT® CBC WITHOUT PLATELET
G0328 0 HCPCS / CPT® FECAL BLOOD SCRN IMMUNOASSAY
G0329 0 HCPCS / CPT® ELECTROMAGNTIC TX FOR ULCERS
G0333 0 HCPCS / CPT® DISPENSE FEE INITIAL 30 DAY
G0337 0 HCPCS / CPT® HOSPICE EVALUATION PREELECTI
G0339 0 HCPCS / CPT® ROBOT LIN-RADSURG COM, FIRST
G0340 0 HCPCS / CPT® ROBT LIN-RADSURG FRACTX 2-5
G0341 0 HCPCS / CPT® PERCUTANEOUS ISLET CELLTRANS
G0342 0 HCPCS / CPT® LAPAROSCOPY ISLET CELL TRANS
G0343 0 HCPCS / CPT® LAPAROTOMY ISLET CELL TRANSP
G0364 0 HCPCS / CPT® BONE MARROW ASPIRATE &BIOPSY
G0365 0 HCPCS / CPT® VESSEL MAPPING HEMO ACCESS
G0372 0 HCPCS / CPT® MD SERVICE REQUIRED FOR PMD
G0378 1678 HCPCS / CPT® HOSPITAL OBSERVATION PER HR >8 hours
G0379 0 HCPCS / CPT® DIRECT REFER HOSPITAL OBSERV
G0380 0 HCPCS / CPT® LEV 1 HOSP TYPE B ED VISIT
G0381 0 HCPCS / CPT® LEV 2 HOSP TYPE B ED VISIT
G0382 0 HCPCS / CPT® LEV 3 HOSP TYPE B ED VISIT
G0383 0 HCPCS / CPT® LEV 4 HOSP TYPE B ED VISIT
G0384 0 HCPCS / CPT® LEV 5 HOSP TYPE B ED VISIT
G0390 0 HCPCS / CPT® TRAUMA RESPONS W/HOSP CRITI
G0396 0 HCPCS / CPT® ALCOHOL/SUBS INTERV 15-30MN
G0397 0 HCPCS / CPT® ALCOHOL/SUBS INTERV >30 MIN
G0398 0 HCPCS / CPT® HOME SLEEP TEST/TYPE 2 PORTA
G0399 0 HCPCS / CPT® HOME SLEEP TEST/TYPE 3 PORTA
G0400 0 HCPCS / CPT® HOME SLEEP TEST/TYPE 4 PORTA
G0402 0 HCPCS / CPT® INITIAL PREVENTIVE EXAM
G0403 0 HCPCS / CPT® EKG FOR INITIAL PREVENT EXAM
G0404 0 HCPCS / CPT® EKG TRACING FOR INITIAL PREV
G0405 0 HCPCS / CPT® EKG INTERPRET & REPORT PREVE
G0406 0 HCPCS / CPT® INPT/TELE FOLLOW UP 15
G0407 0 HCPCS / CPT® INPT/TELE FOLLOW UP 25
G0408 0 HCPCS / CPT® INPT/TELE FOLLOW UP 35
G0409 0 HCPCS / CPT® CORF RELATED SERV 15 MINS EA
G0410 0 HCPCS / CPT® GRP PSYCH PARTIAL HOSP 45-50
G0411 0 HCPCS / CPT® INTER ACTIVE GRP PSYCH PARTI
G0412 0 HCPCS / CPT® OPEN TX ILIAC SPINE UNI/BIL
G0413 0 HCPCS / CPT® PELVIC RING FRACTURE UNI/BIL
G0414 0 HCPCS / CPT® PELVIC RING FX TREAT INT FIX
G0415 0 HCPCS / CPT® OPEN TX POST PELVIC FXCTURE
G0416 0 HCPCS / CPT® PROSTATE BIOPSY, ANY MTHD
G0420 0 HCPCS / CPT® ED SVC CKD IND PER SESSION
G0421 0 HCPCS / CPT® ED SVC CKD GRP PER SESSION
G0422 0 HCPCS / CPT® INTENS CARDIAC REHAB W/EXERC
G0423 0 HCPCS / CPT® INTENS CARDIAC REHAB NO EXER
G0424 0 HCPCS / CPT® PULMONARY REHAB W EXER
G0425 0 HCPCS / CPT® INPT/ED TELECONSULT30
G0426 0 HCPCS / CPT® INPT/ED TELECONSULT50
G0427 0 HCPCS / CPT® INPT/ED TELECONSULT70
G0428 0 HCPCS / CPT® COLLAGEN MENISCUS IMPLANT
G0429 0 HCPCS / CPT® DERMAL FILLER INJECTION(S)
G0432 0 HCPCS / CPT® EIA HIV-1/HIV-2 SCREEN
G0433 0 HCPCS / CPT® ELISA HIV-1/HIV-2 SCREEN
G0435 0 HCPCS / CPT® ORAL HIV-1/HIV-2 SCREEN
G0438 0 HCPCS / CPT® PPPS, INITIAL VISIT
G0439 0 HCPCS / CPT® PPPS, SUBSEQ VISIT
G0442 0 HCPCS / CPT® ANNUAL ALCOHOL SCREEN 15 MIN
G0443 0 HCPCS / CPT® BRIEF ALCOHOL MISUSE COUNSEL
G0444 0 HCPCS / CPT® DEPRESSION SCREEN ANNUAL
G0445 0 HCPCS / CPT® HIGH INTEN BEH COUNS STD 30M
G0446 0 HCPCS / CPT® INTENS BEHAVE THER CARDIO DX
G0447 0 HCPCS / CPT® BEHAVIOR COUNSEL OBESITY 15M
G0448 0 HCPCS / CPT® PLACE PERM PACING CARDIOVERT
G0451 0 HCPCS / CPT® DEVLOPMENT TEST INTERPT&REP
G0452 0 HCPCS / CPT® MOLECULAR PATHOLOGY INTERPR
G0453 0 HCPCS / CPT® CONT INTRAOP NEURO MONITOR
G0454 0 HCPCS / CPT® MD DOCUMENT VISIT BY NPP
G0455 0 HCPCS / CPT® FECAL MICROBIOTA PREP INSTIL
G0458 0 HCPCS / CPT® LDR PROSTATE BRACHY COMP RAT
G0459 0 HCPCS / CPT® TELEHEALTH INPT PHARM MGMT
G0460 0 HCPCS / CPT® AUTOLOGOUS PRP FOR ULCERS
G0463 0 HCPCS / CPT® HOSPITAL OUTPT CLINIC VISIT
G0466 0 HCPCS / CPT® FQHC VISIT NEW PATIENT
G0467 0 HCPCS / CPT® FQHC VISIT, ESTAB PT
G0468 0 HCPCS / CPT® FQHC VISIT, IPPE OR AWV
G0469 0 HCPCS / CPT® FQHC VISIT, MH NEW PT
G0470 0 HCPCS / CPT® FQHC VISIT, MH ESTAB PT
G0471 0 HCPCS / CPT® VEN BLOOD COLL SNF/HHA
G0472 0 HCPCS / CPT® HEP C SCREEN HIGH RISK/OTHER
G0473 0 HCPCS / CPT® GROUP BEHAVE COUNS 2-10
G0475 0 HCPCS / CPT® HIV COMBINATION ASSAY
G0476 0 HCPCS / CPT® HPV COMBO ASSAY CA SCREEN
G0477 0 HCPCS / CPT® DRUG TEST PRESUMP OPTICAL
G0478 0 HCPCS / CPT® DRUG TEST PRESUMP OPT INST
G0479 0 HCPCS / CPT® DRUG TEST PRESUMP NOT OPT
G0480 0 HCPCS / CPT® DRUG TEST DEF 1-7 CLASSES
G0481 0 HCPCS / CPT® DRUG TEST DEF 8-14 CLASSES
G0482 0 HCPCS / CPT® DRUG TEST DEF 15-21 CLASSES
G0483 0 HCPCS / CPT® DRUG TEST DEF 22+ CLASSES
G0490 0 HCPCS / CPT® HOME VISIT RN, LPN BY RHC/FQ
G0491 0 HCPCS / CPT® DIALYSIS ACU KIDNEY NO ESRD
G0492 0 HCPCS / CPT® MD/OTH EVAL ACUT KID NO ESRD
G0493 0 HCPCS / CPT® RN CARE EA 15 MIN HH/HOSPICE
G0494 0 HCPCS / CPT® LPN CARE EA 15MIN HH/HOSPICE
G0495 0 HCPCS / CPT® RN CARE TRAIN/EDU IN HH
G0496 0 HCPCS / CPT® LPN CARE TRAIN/EDU IN HH
G0498 0 HCPCS / CPT® CHEMO EXTEND IV INFUS W/PUMP
G0499 0 HCPCS / CPT® HEPB SCREEN HIGH RISK INDIV
G0500 0 HCPCS / CPT® MOD SEDAT ENDO SERVICE >5YRS
G0501 0 HCPCS / CPT® RESOURCE-INTEN SVC DURING OV
G0502 0 HCPCS / CPT® INIT PSYCH CARE MANAG, 70MIN
G0503 0 HCPCS / CPT® SUBSEQ PSYCH CARE MAN,60MI
G0504 0 HCPCS / CPT® INIT/SUB PSYCH CARE ADD 30 M
G0505 0 HCPCS / CPT® COG/FUNC ASSESSMENT OUTPT
G0506 0 HCPCS / CPT® COMP ASSES CARE PLAN CCM SVC
G0507 0 HCPCS / CPT® CARE MANAGE SERV MINIMUM 20
G0508 0 HCPCS / CPT® CRIT CARE TELEHEA CONSULT 60
G0509 0 HCPCS / CPT® CRIT CARE TELEHEA CONSULT 50
G0913 0 HCPCS / CPT® IMPROVE VISUAL FUNCT
G0914 0 HCPCS / CPT® SURVEY NOT COMPLETE
G0915 0 HCPCS / CPT® NO IMPROVE VISUAL FUNCT
G0916 0 HCPCS / CPT® SATISFY WITH CARE
G0917 0 HCPCS / CPT® SATISFY SURVEY NOT COMPLETE
G0918 0 HCPCS / CPT® NO SATISFY WITH CARE
G6001 0 HCPCS / CPT® ECHO GUIDANCE RADIOTHERAPY
G6002 0 HCPCS / CPT® STEREOSCOPIC X-RAY GUIDANCE
G6003 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6004 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6005 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6006 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6007 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6008 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6009 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6010 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6011 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6012 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6013 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6014 0 HCPCS / CPT® RADIATION TREATMENT DELIVERY
G6015 0 HCPCS / CPT® RADIATION TX DELIVERY IMRT
G6016 0 HCPCS / CPT® DELIVERY COMP IMRT
G6017 0 HCPCS / CPT® INTRAFRACTION TRACK MOTION
G8395 0 HCPCS / CPT® LVEF>=40% DOC NORMAL OR MILD
G8396 0 HCPCS / CPT® LVEF NOT PERFORMED
G8397 0 HCPCS / CPT® DIL MACULA/FUNDUS EXAM/W DOC
G8398 0 HCPCS / CPT® DIL MACULAR/FUNDUS NOT PERFO
G8399 0 HCPCS / CPT® PT W/DXA RESULTS DOCUMENT
G8400 0 HCPCS / CPT® PT W/DXA NO RESULTS DOC
G8404 0 HCPCS / CPT® LOW EXTEMITY NEUR EXAM DOCUM
G8405 0 HCPCS / CPT® LOW EXTEMITY NEUR NOT PERFOR
G8410 0 HCPCS / CPT® EVAL ON FOOT DOCUMENTED
G8415 0 HCPCS / CPT® EVAL ON FOOT NOT PERFORMED
G8416 0 HCPCS / CPT® PT INELIG FOOTWEAR EVALUATIO
G8417 0 HCPCS / CPT® CALC BMI ABV UP PARAM F/U
G8418 0 HCPCS / CPT® CALC BMI BLW LOW PARAM F/U
G8419 0 HCPCS / CPT® CALC BMI OUT NRM PARAM NOF/U
G8420 0 HCPCS / CPT® CALC BMI NORM PARAMETERS
G8421 0 HCPCS / CPT® BMI NOT CALCULATED
G8422 0 HCPCS / CPT® PT INELIG BMI CALCULATION
G8427 0 HCPCS / CPT® DOCREV CUR MEDS BY ELIG CLIN
G8428 0 HCPCS / CPT® CUR MEDS NOT DOCUMENT
G8430 0 HCPCS / CPT® PT INELIG MED CHECK
G8431 0 HCPCS / CPT® POS CLIN DEPRES SCRN F/U DOC
G8432 0 HCPCS / CPT® DEP SCR NOT DOC, RNG
G8433 0 HCPCS / CPT® SCR DEP NOT DONE, DOC RSN
G8442 0 HCPCS / CPT® PT INELIG PAIN ASSESSMENT
G8450 0 HCPCS / CPT® BETA-BLOC RX PT W/ABN LVEF
G8451 0 HCPCS / CPT® PT W/ABN LVEF INELIG B-BLOC
G8452 0 HCPCS / CPT® PT W/ABN LVEF B-BLOC NO RX
G8465 0 HCPCS / CPT® HIGH RISK RECURRENCE PRO CA
G8473 0 HCPCS / CPT® ACE/ARB THXPY RX’D
G8474 0 HCPCS / CPT® ACE/ARB NOT RX’D; DOC REAS
G8475 0 HCPCS / CPT® ACE/ARB THXPY NOT RX’D
G8476 0 HCPCS / CPT® BP SYS <140 AND DIAS <90
G8477 0 HCPCS / CPT® BP SYS>=140 AND/OR DIAS >=90
G8478 0 HCPCS / CPT® BP NOT PERFORMED/DOC
G8482 0 HCPCS / CPT® FLU IMMUNIZE ORDER/ADMIN
G8483 0 HCPCS / CPT® FLU IMM NO ADMIN DOC REA
G8484 0 HCPCS / CPT® FLU IMMUNIZE NO ADMIN
G8506 0 HCPCS / CPT® PT REC ACE/ARB
G8509 0 HCPCS / CPT® POS PAIN ASSESS NO F/U DOC
G8510 0 HCPCS / CPT® SCR DEP NEG, NO PLAN REQD
G8511 0 HCPCS / CPT® SCR DEP POS, NO PLAN DOC RNG
G8535 0 HCPCS / CPT® PT INELIG NO ELD MAL SCRN
G8536 0 HCPCS / CPT® NO DOC ELDER MAL SCRN
G8539 0 HCPCS / CPT® DOC FUNCT AND CARE PLAN
G8540 0 HCPCS / CPT® PT INELIG FUNCT ASSESS
G8541 0 HCPCS / CPT® NO DOC CUR FUNCT ASSESS
G8542 0 HCPCS / CPT® DOC FUNCT NO DEFICIENCIES
G8543 0 HCPCS / CPT® CUR FUNCT ASSES; NO CARE PLN
G8559 0 HCPCS / CPT® PT REF DOC OTO EVAL
G8560 0 HCPCS / CPT® PT HX ACT DRAIN PREV 90 DAYS
G8561 0 HCPCS / CPT® PT INELIG FOR REF OTO EVAL
G8562 0 HCPCS / CPT® PT NO HX ACT DRAIN 90 D
G8563 0 HCPCS / CPT® PT NO REF OTO REAS NO SPEC
G8564 0 HCPCS / CPT® PT REF OTO EVAL
G8565 0 HCPCS / CPT® VER DOC HEAR LOSS
G8566 0 HCPCS / CPT® PT INELIG REF OTO EVAL
G8567 0 HCPCS / CPT® PT NO DOC HEAR LOSS
G8568 0 HCPCS / CPT® PT NO REF OTOLO NO SPEC
G8569 0 HCPCS / CPT® PROL INTUBATION REQ
G8570 0 HCPCS / CPT® NO PROL INTUB REQ
G8571 0 HCPCS / CPT® STER WD IFX 30 D POSTOP
G8572 0 HCPCS / CPT® NO STER WD IFX
G8573 0 HCPCS / CPT® STK CABG
G8574 0 HCPCS / CPT® NO STRK CABG
G8575 0 HCPCS / CPT® POSTOP REN FAIL
G8576 0 HCPCS / CPT® NO POSTOP REN FAIL
G8577 0 HCPCS / CPT® REOP REQ BLD GRFT OTH
G8578 0 HCPCS / CPT® NO REOP REQ BLD GRFT OTH
G8598 0 HCPCS / CPT® ASA/ANTIPLAT THER USED
G8599 0 HCPCS / CPT® NO ASA/ANTIPLAT THER USE RNG
G8600 0 HCPCS / CPT® TPA INITI W/IN 3 HRS
G8601 0 HCPCS / CPT® NO ELIG TPA INIT W/IN 3 HRS
G8602 0 HCPCS / CPT® NO TPA INIT W/IN 3 HRS
G8627 0 HCPCS / CPT® SURG PROC W/IN 30 DAYS
G8628 0 HCPCS / CPT® NO SURG PROC W/IN 30 DAYS
G8633 0 HCPCS / CPT® PHARM THER OSTEO RX
G8635 0 HCPCS / CPT® NO PHARM THER OSTEO RX
G8647 0 HCPCS / CPT® FUN STAT SCORE KNEE >= 0
G8648 0 HCPCS / CPT® FUN STAT SCORE KNEE < 0
G8649 0 HCPCS / CPT® RAFSCRS KNEE NO MSR, NO FOTO
G8650 0 HCPCS / CPT® FUN STAT SCORE KNEE NOT DONE
G8651 0 HCPCS / CPT® FUN STAT SCORE HIP >= 0
G8652 0 HCPCS / CPT® FUN STAT SCORE HIP < 0
G8653 0 HCPCS / CPT® RAFSCRS HIP, NO MSR, NO SURV
G8654 0 HCPCS / CPT® FUN STAT SCORE HIP NOT DONE
G8655 0 HCPCS / CPT® RAFSCRS FT ANK SCORE >=0
G8656 0 HCPCS / CPT® RAFSCRS FT ANK SCORE < 0
G8657 0 HCPCS / CPT® RAFSCRS FOOT, NO MSR/NO FOTO
G8658 0 HCPCS / CPT® RAFSCRS FOOT, NO MSR/NO SURV
G8659 0 HCPCS / CPT® RAFSCRS LUMB SCORE >= 0
G8660 0 HCPCS / CPT® RAFSCRS LUMB SCORE < 0
G8661 0 HCPCS / CPT® RAFSCRS LUM, NO MSR/NO FOTO
G8662 0 HCPCS / CPT® RAFSCRS LUM, NO MSR/NO SURV
G8663 0 HCPCS / CPT® FUN STAT SCORE SHDL >=0
G8664 0 HCPCS / CPT® FUN STAT SCORE SHDL < 0
G8665 0 HCPCS / CPT® RAFSCRS SHLDR, NO MSR/FOTO
G8666 0 HCPCS / CPT® FUN STAT SCORE SHDL NOT DONE
G8667 0 HCPCS / CPT® FUN STAT SCORE UE >=0
G8668 0 HCPCS / CPT® FUN STAT SCORE UE < 0
G8669 0 HCPCS / CPT® RAFSCRS HAND, NO MSR/SURV
G8670 0 HCPCS / CPT® FUN STAT SCORE UE NOT DONE
G8671 0 HCPCS / CPT® RAFSCRS NECK, SCORE >/=0
G8672 0 HCPCS / CPT® RAFSCRS NECK, SCORE <0
G8673 0 HCPCS / CPT® RAFSCRS NECK, NO MSR/NO FOTO
G8674 0 HCPCS / CPT® RAFSCRS NECK, NO MSR/NO FOTO
G8694 0 HCPCS / CPT® LVEF <40%
G8696 0 HCPCS / CPT® ANTITHROMB THX PRESC
G8697 0 HCPCS / CPT® ANTITHROMB NO PRESC DOC REAS
G8698 0 HCPCS / CPT® ANTITHROMB NO PRESC NO REAS
G8708 0 HCPCS / CPT® ANTIBIOTIC NOT PRES
G8709 0 HCPCS / CPT® MED REAS ANTIBIOTIC PRES
G8710 0 HCPCS / CPT® PT PRES ANTIBIOTIC
G8711 0 HCPCS / CPT® PRES ANTIBIOTIC
G8712 0 HCPCS / CPT® NOT PRES ANTIBIOTIC
G8721 0 HCPCS / CPT® PT, PN, HIST GRADE DOC
G8722 0 HCPCS / CPT® MED REAS PT, PN, NOT DOC
G8723 0 HCPCS / CPT® SPEC SIT NOT PRIM TUMOR
G8724 0 HCPCS / CPT® PT, PN, HIST GRADE NOT DOC
G8730 0 HCPCS / CPT® PAIN DOC POS AND PLAN
G8731 0 HCPCS / CPT® PAIN NEG NO PLAN
G8732 0 HCPCS / CPT® NO DOC OF PAIN
G8733 0 HCPCS / CPT® DOC POS ELDER MAL SCRN PLAN
G8734 0 HCPCS / CPT® DOC NEG ELDER MAL NO PLAN
G8735 0 HCPCS / CPT® ELD MAL SCRN POS NO PLAN
G8749 0 HCPCS / CPT® SIGNS OF MELANOMA ABSENT
G8752 0 HCPCS / CPT® SYS BP LESS 140
G8753 0 HCPCS / CPT® SYS BP > OR = 140
G8754 0 HCPCS / CPT® DIAS BP LESS 90
G8755 0 HCPCS / CPT® DIAS BP > OR = 90
G8756 0 HCPCS / CPT® NO BP MEASURE DOC
G8783 0 HCPCS / CPT® BP SCRN PERF REC INTERVAL
G8785 0 HCPCS / CPT® BP SCRN NO PERF AT INTERVAL
G8797 0 HCPCS / CPT® SPECIMEN SITE NOT ESOPHAGUS
G8798 0 HCPCS / CPT® SPECIMEN SITE NOT PROSTATE
G8806 0 HCPCS / CPT® TRANSAB OR TRANSVAG US
G8807 0 HCPCS / CPT® DOC REAS NO US
G8808 0 HCPCS / CPT® NO TRANSAB OR TRANSVAG US
G8809 0 HCPCS / CPT® RH-IMMUNOGLOBULIN ORDER
G8810 0 HCPCS / CPT® DOC REAS NO RH-IMMUNO
G8811 0 HCPCS / CPT® NO RH-IMMUNOGLOBULIN ORDER
G8815 0 HCPCS / CPT® DOC REAS NO STATIN THERAPY
G8816 0 HCPCS / CPT® STATIN MED PRES AT DISCH
G8817 0 HCPCS / CPT® DOC REAS NO STATIN MED DISCH
G8818 0 HCPCS / CPT® PT DISCH TO HOME BY DAY#7
G8825 0 HCPCS / CPT® PT NOT DISCH TO HOME DAY#7
G8826 0 HCPCS / CPT® PT DISCH HOME DAY #2 EVAR
G8833 0 HCPCS / CPT® PT NOT DISCH HOME DAY#2 EVAR
G8834 0 HCPCS / CPT® PT DISCH HOME DAY #2 CEA
G8838 0 HCPCS / CPT® NOT DISCH HOME BY DAY #2
G8839 0 HCPCS / CPT® SLEEP APNEA ASSESS
G8840 0 HCPCS / CPT® DOC REAS NO SLEEP APNEA
G8841 0 HCPCS / CPT® NO SLEEP APNEA ASSESS
G8842 0 HCPCS / CPT® AHI OR RDI INITIAL DX
G8843 0 HCPCS / CPT® DOC REAS NO AHI OR RDI
G8844 0 HCPCS / CPT® NO AHI OR RDI INITIAL DX
G8845 0 HCPCS / CPT® POS AIRWAY PRESS PRESCRIBED
G8846 0 HCPCS / CPT® MOD OR SEVERE OSA
G8849 0 HCPCS / CPT® DOC REAS NO POS AIR PRESS
G8850 0 HCPCS / CPT® NO PAP PRESCRIBED
G8851 0 HCPCS / CPT® ADHERE POS AIR PRESS THERAPY
G8852 0 HCPCS / CPT® POS AIR PRESS PRESCRIBE
G8854 0 HCPCS / CPT® REAS NO ADHERE POS AIR PRES
G8855 0 HCPCS / CPT® POS AIR PRESS ADHERE NO PERF
G8856 0 HCPCS / CPT® REF FOR OTO EVAL
G8857 0 HCPCS / CPT® NO ELIG REF FOR OTO EVAL
G8858 0 HCPCS / CPT® NOT REF FOR OTO EVAL
G8861 0 HCPCS / CPT® DXA ORDERED FOR OSTEO
G8863 0 HCPCS / CPT® NO ASSESS BONE LOSS
G8864 0 HCPCS / CPT® PNEUMOCOCCAL VACCINE ADMIN
G8865 0 HCPCS / CPT® DOC MED REAS NO PNEUMOCOCCAL
G8866 0 HCPCS / CPT® DOC PT REAS NO PNEUMOCOCCAL
G8867 0 HCPCS / CPT® NO PNEUMOCOCCAL ADMIN
G8869 0 HCPCS / CPT® DOC IMMUN HEP B 1ST ANTITNF
G8872 0 HCPCS / CPT® INTRAOP IMAGE CONFIRM EXCISE
G8873 0 HCPCS / CPT® SPECIMEN NOT INTRAOP IMAGE
G8874 0 HCPCS / CPT® TISSUE NOT IMAGE INTRAOP
G8875 0 HCPCS / CPT® BREAST CANCER DX MIN INVSIVE
G8876 0 HCPCS / CPT® DOC REAS NO MIN INV DX
G8877 0 HCPCS / CPT® NO BRST CNCR DX MIN INVASIVE
G8878 0 HCPCS / CPT® SENT LYMPH NODE BIOPSY
G8879 0 HCPCS / CPT® NODE NEG INV BRST CNCR
G8880 0 HCPCS / CPT® DOC REAS NO LYMPH NODE BIOP
G8881 0 HCPCS / CPT® BRST CNCR STAGE > T1N0M0
G8882 0 HCPCS / CPT® NO SENT LYMPH NODE BIOPSY
G8883 0 HCPCS / CPT® REV, COMM, TRACK, DOC BIOPSY
G8884 0 HCPCS / CPT® DOC REAS BIOPSY NOT REVIEW
G8885 0 HCPCS / CPT® NO REV, COMM, TRACK BIOPSY
G8907 0 HCPCS / CPT® PT DOC NO EVENTS ON DISCHARG
G8908 0 HCPCS / CPT® PT DOC W BURN PRIOR TO D/C
G8909 0 HCPCS / CPT® PT DOC NO BURN PRIOR TO D/C
G8910 0 HCPCS / CPT® PT DOC TO HAVE FALL IN ASC
G8911 0 HCPCS / CPT® PT DOC NO FALL IN ASC
G8912 0 HCPCS / CPT® PT DOC WITH WRONG EVENT
G8913 0 HCPCS / CPT® PT DOC NO WRONG EVENT
G8914 0 HCPCS / CPT® PT TRANS TO HOSP POST D/C
G8915 0 HCPCS / CPT® PT NOT TRANS TO HOSP AT D/C
G8916 0 HCPCS / CPT® PT W IV AB GIVEN ON TIME
G8917 0 HCPCS / CPT® PT W IV AB NOT GIVEN ON TIME
G8918 0 HCPCS / CPT® PT W/O PREOP ORDER IV AB PRO
G8923 0 HCPCS / CPT® LVEF < 40% OR LVSD
G8924 0 HCPCS / CPT® SPIR FEV1/FVC<70%,FEV<60%
G8925 0 HCPCS / CPT® SPIR FEV1/FVC>=60% & NO COPD
G8926 0 HCPCS / CPT® SPIRO NO PERF OR DOC
G8934 0 HCPCS / CPT® LVEF <40% OR DEP LV SYS FCN
G8935 0 HCPCS / CPT® RX ACE OR ARB THERAPY
G8936 0 HCPCS / CPT® PT NOT ELIGIBLE ACE/ARB
G8937 0 HCPCS / CPT® NO RX ACE/ARB THERAPY
G8938 0 HCPCS / CPT® BMI CALC, PT NO F/U PLAN ELG
G8939 0 HCPCS / CPT® PAIN ASSESS DOC, F/U NO DOC
G8941 0 HCPCS / CPT® NO DOC ELDER SCRN, PT NO EL
G8942 0 HCPCS / CPT® DOC FCN/CARE PLAN W/30 DAYS
G8944 0 HCPCS / CPT® AJCC MEL CNR STG 0 – IIC
G8946 0 HCPCS / CPT® MIBM BUT NO DX OF BREAST CA
G8947 0 HCPCS / CPT® 1 OR MORE NEUROPSYCH
G8950 0 HCPCS / CPT® PRE-HTN OR HTN DOC, F/U INDC
G8952 0 HCPCS / CPT® PRE-HTN/HTN, NO F/U, NOT GVN
G8955 0 HCPCS / CPT® MOST RECENT ASSESS VOL MGMT
G8956 0 HCPCS / CPT® PT RCV HEDIA OUTPT DYLS FAC
G8958 0 HCPCS / CPT® ASSESS VOL MGMT NOT DOC
G8959 0 HCPCS / CPT® CLIN TX MDD COMM TO TX CLIN
G8960 0 HCPCS / CPT® CLIN TX MDD NOT COMM
G8961 0 HCPCS / CPT® CSIT LOWRISK SURG PTS PREOP
G8962 0 HCPCS / CPT® CSIT ON PT ANY REAS 30 DAYS
G8963 0 HCPCS / CPT® CSI PER ASX PT W/PCI 2 YRS
G8964 0 HCPCS / CPT® CSI ANY OTHER THAN PCI 2 YR
G8965 0 HCPCS / CPT® CSIT PERF ON LOW CHD RSK
G8966 0 HCPCS / CPT® CSIT PERF SX OR HIGH CHD RSK
G8967 0 HCPCS / CPT® WRFRN OR ORAL ANTIGOAG PRES
G8968 0 HCPCS / CPT® DOC RSN NO WARF/ANTICOG PRES
G8969 0 HCPCS / CPT® PT RSN NO PRES WRFRN OR OTHR
G8970 0 HCPCS / CPT® NO RSK FAC OR 1 MOD RISK TE
G8971 0 HCPCS / CPT® WARFRN OR OTHR ANTCOG NO RX
G8972 0 HCPCS / CPT® 1>=RISK OR>= MOD RISK FOR TE
G8973 0 HCPCS / CPT® MST RCNT HBB < 10G/DL
G8974 0 HCPCS / CPT® HGB NOT DOC RNS NOT GVN
G8975 0 HCPCS / CPT® HGB <10G/DL, MED RSN
G8976 0 HCPCS / CPT® HGB >= 10 G/DL
G8978 0 HCPCS / CPT® MOBILITY CURRENT STATUS
G8979 0 HCPCS / CPT® MOBILITY GOAL STATUS
G8980 0 HCPCS / CPT® MOBILITY D/C STATUS
G8981 0 HCPCS / CPT® BODY POS CURRENT STATUS
G8982 0 HCPCS / CPT® BODY POS GOAL STATUS
G8983 0 HCPCS / CPT® BODY POS D/C STATUS
G8984 0 HCPCS / CPT® CARRY CURRENT STATUS
G8985 0 HCPCS / CPT® CARRY GOAL STATUS
G8986 0 HCPCS / CPT® CARRY D/C STATUS
G8987 0 HCPCS / CPT® SELF CARE CURRENT STATUS
G8988 0 HCPCS / CPT® SELF CARE GOAL STATUS
G8989 0 HCPCS / CPT® SELF CARE D/C STATUS
G8990 0 HCPCS / CPT® OTHER PT/OT CURRENT STATUS
G8991 0 HCPCS / CPT® OTHER PT/OT GOAL STATUS
G8992 0 HCPCS / CPT® OTHER PT/OT D/C STATUS
G8993 0 HCPCS / CPT® SUB PT/OT CURRENT STATUS
G8994 0 HCPCS / CPT® SUB PT/OT GOAL STATUS
G8995 0 HCPCS / CPT® SUB PT/OT D/C STATUS
G8996 0 HCPCS / CPT® SWALLOW CURRENT STATUS
G8997 0 HCPCS / CPT® SWALLOW GOAL STATUS
G8998 0 HCPCS / CPT® SWALLOW D/C STATUS
G8999 0 HCPCS / CPT® MOTOR SPEECH CURRENT STATUS
G9001 0 HCPCS / CPT® MCCD, INITIAL RATE
G9002 0 HCPCS / CPT® MCCD,MAINTENANCE RATE
G9003 0 HCPCS / CPT® MCCD, RISK ADJ HI, INITIAL
G9004 0 HCPCS / CPT® MCCD, RISK ADJ LO, INITIAL
G9005 0 HCPCS / CPT® MCCD, RISK ADJ, MAINTENANCE
G9006 0 HCPCS / CPT® MCCD, HOME MONITORING
G9007 0 HCPCS / CPT® MCCD, SCH TEAM CONF
G9008 0 HCPCS / CPT® MCCD,PHYS COOR-CARE OVRSGHT
G9009 0 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 3
G9010 0 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 4
G9011 0 HCPCS / CPT® MCCD, RISK ADJ, LEVEL 5
G9012 0 HCPCS / CPT® OTHER SPECIFIED CASE MGMT
G9013 0 HCPCS / CPT® ESRD DEMO BUNDLE LEVEL I
G9014 0 HCPCS / CPT® ESRD DEMO BUNDLE-LEVEL II
G9016 0 HCPCS / CPT® DEMO-SMOKING CESSATION COUN
G9017 0 HCPCS / CPT® AMANTADINE HCL 100MG ORAL
G9018 0 HCPCS / CPT® ZANAMIVIR,INHALATION PWD 10M
G9019 0 HCPCS / CPT® OSELTAMIVIR PHOSPHATE 75MG
G9020 0 HCPCS / CPT® RIMANTADINE HCL 100MG ORAL
G9033 0 HCPCS / CPT® AMANTADINE HCL ORAL BRAND
G9034 0 HCPCS / CPT® ZANAMIVIR, INH PWDR, BRAND
G9035 0 HCPCS / CPT® OSELTAMIVIR PHOSP, BRAND
G9036 0 HCPCS / CPT® RIMANTADINE HCL, BRAND
G9050 0 HCPCS / CPT® ONCOLOGY WORK-UP EVALUATION
G9051 0 HCPCS / CPT® ONCOLOGY TX DECISION-MGMT
G9052 0 HCPCS / CPT® ONC SURVEILLANCE FOR DISEASE
G9053 0 HCPCS / CPT® ONC EXPECTANT MANAGEMENT PT
G9054 0 HCPCS / CPT® ONC SUPERVISION PALLIATIVE
G9055 0 HCPCS / CPT® ONC VISIT UNSPECIFIED NOS
G9056 0 HCPCS / CPT® ONC PRAC MGMT ADHERES GUIDE
G9057 0 HCPCS / CPT® ONC PRACT MGMT DIFFERS TRIAL
G9058 0 HCPCS / CPT® ONC PRAC MGMT DISAGREE W/GUI
G9059 0 HCPCS / CPT® ONC PRAC MGMT PT OPT ALTERNA
G9060 0 HCPCS / CPT® ONC PRAC MGMT DIF PT COMORB
G9061 0 HCPCS / CPT® ONC PRAC COND NOADD BY GUIDE
G9062 0 HCPCS / CPT® ONC PRAC GUIDE DIFFERS NOS
G9063 0 HCPCS / CPT® ONC DX NSCLC STGI NO PROGRES
G9064 0 HCPCS / CPT® ONC DX NSCLC STG2 NO PROGRES
G9065 0 HCPCS / CPT® ONC DX NSCLC STG3A NO PROGRE
G9066 0 HCPCS / CPT® ONC DX NSCLC STG3B-4 METASTA
G9067 0 HCPCS / CPT® ONC DX NSCLC DX UNKNOWN NOS
G9068 0 HCPCS / CPT® ONC DX SCLC/NSCLC LIMITED
G9069 0 HCPCS / CPT® ONC DX SCLC/NSCLC EXT AT DX
G9070 0 HCPCS / CPT® ONC DX SCLC/NSCLC EXT UNKNWN
G9071 0 HCPCS / CPT® ONC DX BRST STG1-2B HR,NOPRO
G9072 0 HCPCS / CPT® ONC DX BRST STG1-2 NOPROGRES
G9073 0 HCPCS / CPT® ONC DX BRST STG3-HR, NO PRO
G9074 0 HCPCS / CPT® ONC DX BRST STG3-NOPROGRESS
G9075 0 HCPCS / CPT® ONC DX BRST METASTIC/ RECUR
G9077 0 HCPCS / CPT® ONC DX PROSTATE T1NO PROGRES
G9078 0 HCPCS / CPT® ONC DX PROSTATE T2NO PROGRES
G9079 0 HCPCS / CPT® ONC DX PROSTATE T3B-T4NOPROG
G9080 0 HCPCS / CPT® ONC DX PROSTATE W/RISE PSA
G9083 0 HCPCS / CPT® ONC DX PROSTATE UNKNWN NOS
G9084 0 HCPCS / CPT® ONC DX COLON T1-3,N1-2,NO PR
G9085 0 HCPCS / CPT® ONC DX COLON T4, N0 W/O PROG
G9086 0 HCPCS / CPT® ONC DX COLON T1-4 NO DX PROG
G9087 0 HCPCS / CPT® ONC DX COLON METAS EVID DX
G9088 0 HCPCS / CPT® ONC DX COLON METAS NOEVID DX
G9089 0 HCPCS / CPT® ONC DX COLON EXTENT UNKNOWN
G9090 0 HCPCS / CPT® ONC DX RECTAL T1-2 NO PROGR
G9091 0 HCPCS / CPT® ONC DX RECTAL T3 N0 NO PROG
G9092 0 HCPCS / CPT® ONC DX RECTAL T1-3,N1-2NOPRG
G9093 0 HCPCS / CPT® ONC DX RECTAL T4,N,M0 NO PRG
G9094 0 HCPCS / CPT® ONC DX RECTAL M1 W/METS PROG
G9095 0 HCPCS / CPT® ONC DX RECTAL EXTENT UNKNWN
G9096 0 HCPCS / CPT® ONC DX ESOPHAG T1-T3 NOPROG
G9097 0 HCPCS / CPT® ONC DX ESOPHAGEAL T4 NO PROG
G9098 0 HCPCS / CPT® ONC DX ESOPHAGEAL METS RECUR
G9099 0 HCPCS / CPT® ONC DX ESOPHAGEAL UNKNOWN
G9100 0 HCPCS / CPT® ONC DX GASTRIC NO RECURRENCE
G9101 0 HCPCS / CPT® ONC DX GASTRIC P R1-R2NOPROG
G9102 0 HCPCS / CPT® ONC DX GASTRIC UNRESECTABLE
G9103 0 HCPCS / CPT® ONC DX GASTRIC RECURRENT
G9104 0 HCPCS / CPT® ONC DX GASTRIC UNKNOWN NOS
G9105 0 HCPCS / CPT® ONC DX PANCREATC P R0 RES NO
G9106 0 HCPCS / CPT® ONC DX PANCREATC P R1/R2 NO
G9107 0 HCPCS / CPT® ONC DX PANCREATIC UNRESECTAB
G9108 0 HCPCS / CPT® ONC DX PANCREATIC UNKNWN NOS
G9109 0 HCPCS / CPT® ONC DX HEAD/NECK T1-T2NO PRG
G9110 0 HCPCS / CPT® ONC DX HEAD/NECK T3-4 NOPROG
G9111 0 HCPCS / CPT® ONC DX HEAD/NECK M1 METS REC
G9112 0 HCPCS / CPT® ONC DX HEAD/NECK EXT UNKNOWN
G9113 0 HCPCS / CPT® ONC DX OVARIAN STG1A-B NO PR
G9114 0 HCPCS / CPT® ONC DX OVARIAN STG1A-B OR 2
G9115 0 HCPCS / CPT® ONC DX OVARIAN STG3/4 NOPROG
G9116 0 HCPCS / CPT® ONC DX OVARIAN RECURRENCE
G9117 0 HCPCS / CPT® ONC DX OVARIAN UNKNOWN NOS
G9123 0 HCPCS / CPT® ONC DX CML CHRONIC PHASE
G9124 0 HCPCS / CPT® ONC DX CML ACCELER PHASE
G9125 0 HCPCS / CPT® ONC DX CML BLAST PHASE
G9126 0 HCPCS / CPT® ONC DX CML REMISSION
G9128 0 HCPCS / CPT® ONC DX MULTI MYELOMA STAGE I
G9129 0 HCPCS / CPT® ONC DX MULT MYELOMA STG2 HIG
G9130 0 HCPCS / CPT® ONC DX MULTI MYELOMA UNKNOWN
G9131 0 HCPCS / CPT® ONC DX BRST UNKNOWN NOS
G9132 0 HCPCS / CPT® ONC DX PROSTATE METS NO CAST
G9133 0 HCPCS / CPT® ONC DX PROSTATE CLINICAL MET
G9134 0 HCPCS / CPT® ONC NHLSTG 1-2 NO RELAP NO
G9135 0 HCPCS / CPT® ONC DX NHL STG 3-4 NOT RELAP
G9136 0 HCPCS / CPT® ONC DX NHL TRANS TO LG BCELL
G9137 0 HCPCS / CPT® ONC DX NHL RELAPSE/REFRACTOR
G9138 0 HCPCS / CPT® ONC DX NHL STG UNKNOWN
G9139 0 HCPCS / CPT® ONC DX CML DX STATUS UNKNOWN
G9140 0 HCPCS / CPT® FRONTIER EXTENDED STAY DEMO
G9143 0 HCPCS / CPT® WARFARIN RESPON GENETIC TEST
G9147 0 HCPCS / CPT® OUTPT IV INSULIN TX ANY MEA
G9148 0 HCPCS / CPT® MEDICAL HOME LEVEL 1
G9149 0 HCPCS / CPT® MEDICAL HOME LEVEL II
G9150 0 HCPCS / CPT® MEDICAL HOME LEVEL III
G9151 0 HCPCS / CPT® MAPCP DEMO STATE
G9152 0 HCPCS / CPT® MAPCP DEMO COMMUNITY
G9153 0 HCPCS / CPT® MAPCP DEMO PHYSICIAN
G9156 0 HCPCS / CPT® EVALUATION FOR WHEELCHAIR
G9157 0 HCPCS / CPT® TRANSESOPH DOPPL CARDIAC MON
G9158 0 HCPCS / CPT® MOTOR SPEECH D/C STATUS
G9159 0 HCPCS / CPT® LANG COMP CURRENT STATUS
G9160 0 HCPCS / CPT® LANG COMP GOAL STATUS
G9161 0 HCPCS / CPT® LANG COMP D/C STATUS
G9162 0 HCPCS / CPT® LANG EXPRESS CURRENT STATUS
G9163 0 HCPCS / CPT® LANG EXPRESS GOAL STATUS
G9164 0 HCPCS / CPT® LANG EXPRESS D/C STATUS
G9165 0 HCPCS / CPT® ATTEN CURRENT STATUS
G9166 0 HCPCS / CPT® ATTEN GOAL STATUS
G9167 0 HCPCS / CPT® ATTEN D/C STATUS
G9168 0 HCPCS / CPT® MEMORY CURRENT STATUS
G9169 0 HCPCS / CPT® MEMORY GOAL STATUS
G9170 0 HCPCS / CPT® MEMORY D/C STATUS
G9171 0 HCPCS / CPT® VOICE CURRENT STATUS
G9172 0 HCPCS / CPT® VOICE GOAL STATUS
G9173 0 HCPCS / CPT® VOICE D/C STATUS
G9174 0 HCPCS / CPT® SPEECH LANG CURRENT STATUS
G9175 0 HCPCS / CPT® SPEECH LANG GOAL STATUS
G9176 0 HCPCS / CPT® SPEECH LANG D/C STATUS
G9186 0 HCPCS / CPT® MOTOR SPEECH GOAL STATUS
G9187 0 HCPCS / CPT® BPCI HOME VISIT
G9188 0 HCPCS / CPT® BETA NOT GIVEN NO REASON
G9189 0 HCPCS / CPT® BETA PRES OR ALREADY TAKING
G9190 0 HCPCS / CPT® MEDICAL REASON FOR NO BETA
G9191 0 HCPCS / CPT® PT REASON FOR NO BETA
G9192 0 HCPCS / CPT® SYSTEM REASON FOR NO BETA
G9196 0 HCPCS / CPT® MED REASON FOR NO CEPH
G9197 0 HCPCS / CPT® ORDER FOR CEPH
G9198 0 HCPCS / CPT® NO ORDER FOR CEPH NO REASON
G9212 0 HCPCS / CPT® DOC OF DSM-IV INIT EVAL
G9213 0 HCPCS / CPT® NO DOC OF DSM-IV
G9223 0 HCPCS / CPT® PJP PROPH ORDERED CD4 LOW
G9225 0 HCPCS / CPT® NORSN NO FOOT EXAM
G9226 0 HCPCS / CPT® 3 COMP FOOT EXAM COMPLETED
G9227 0 HCPCS / CPT® DOCRSN NO CARE PLAN
G9228 0 HCPCS / CPT® GC CHL SYP DOCUMENTED
G9229 0 HCPCS / CPT® PTRSN NO GC CHL SYP TEST
G9230 0 HCPCS / CPT® NORSN FOR GC CHL SYP TEST
G9231 0 HCPCS / CPT® DOC ESRD DIA TRANS PREG
G9232 0 HCPCS / CPT® PTRSN NO COMM COMORBID
G9239 0 HCPCS / CPT® DOC RSN HEMOD & CATH ACC
G9240 0 HCPCS / CPT® DOC PT W CATH MAINT DIA
G9241 0 HCPCS / CPT® DOC PT W OUT CATH MAINT DIA
G9242 0 HCPCS / CPT® DOC VIRAL LOAD >=200
G9243 0 HCPCS / CPT® DOC VIRAL LOAD <200
G9246 0 HCPCS / CPT® NO MED VISIT IN 24MO
G9247 0 HCPCS / CPT® 1 MED VISIT IN 24MO
G9250 0 HCPCS / CPT® DOC OF PAIN COMFORT 48HR
G9251 0 HCPCS / CPT® DOC NO PAIN COMFORT 48HR
G9254 0 HCPCS / CPT® DOC PT DISCHG >2D
G9255 0 HCPCS / CPT® DOC PT DISCHG <=2D
G9256 0 HCPCS / CPT® DOC DEATH AFTER CAS
G9257 0 HCPCS / CPT® DOC STROKE AFTER CAS
G9258 0 HCPCS / CPT® DOC STROKE AFTER CEA
G9259 0 HCPCS / CPT® DOC SURV NO STROKE AFTER CAS
G9260 0 HCPCS / CPT® DOC DEATH AFTER CEA
G9261 0 HCPCS / CPT® DOC SURV NO STROKE AFTER CEA
G9262 0 HCPCS / CPT® DOC DEATH IN HOSP AAA REPAIR
G9263 0 HCPCS / CPT® DOC SURV IN HOSP AAA REPAIR
G9264 0 HCPCS / CPT® DOC RSN HEMOD W/CATH >=90D
G9265 0 HCPCS / CPT® DOC CATH >90D FOR MAINT DIA
G9266 0 HCPCS / CPT® NORSN PT CATH >=90D
G9267 0 HCPCS / CPT® DOC COMP OR MORT W IN 30D
G9268 0 HCPCS / CPT® DOC COMP OR MORT W IN 90D
G9269 0 HCPCS / CPT® DOC NO COMP OR MORT W IN 30D
G9270 0 HCPCS / CPT® DOC NO COMP OR MORT W IN 90D
G9273 0 HCPCS / CPT® SYS<140 AND DIA<90
G9274 0 HCPCS / CPT® BP OUT OF NRML LIMITS
G9275 0 HCPCS / CPT® DOC OF NON TOBACCO USER
G9276 0 HCPCS / CPT® DOC OF TOBACCO USER
G9277 0 HCPCS / CPT® DOC DAILY ASPIRIN OR CONTRA
G9278 0 HCPCS / CPT® DOC NO DAILY ASPIRIN
G9279 0 HCPCS / CPT® PNE SCRN DONE DOC VAC DONE
G9280 0 HCPCS / CPT® PNE NOT GIVEN NORSN
G9281 0 HCPCS / CPT® PNE SCRN DONE DOC NOT IND
G9282 0 HCPCS / CPT® DOC MEDRSN NO HISTO TYPE
G9283 0 HCPCS / CPT® HIST TYPE DOC ON REPORT
G9284 0 HCPCS / CPT® NO HIST TYPE DOC ON REPORT
G9285 0 HCPCS / CPT® SITE NOT SMALL CELL LUNG CA
G9286 0 HCPCS / CPT® ANTIBIO RX W IN 10D OF SYMPT
G9287 0 HCPCS / CPT® NO ANTIBIO W IN 10D OF SYMPT
G9288 0 HCPCS / CPT® DOC MEDRSN NO HIST TYPE RPT
G9289 0 HCPCS / CPT® DOC TYPE NSM LUNG CA
G9290 0 HCPCS / CPT® NO DOC TYPE NSM LUNG CA
G9291 0 HCPCS / CPT® NOT NSM LUNG CA
G9292 0 HCPCS / CPT® MEDRSN NO PT CATEGORY
G9293 0 HCPCS / CPT® NO PT CATEGORY ON REPORT
G9294 0 HCPCS / CPT® PT CAT AND THCK ON REPORT
G9295 0 HCPCS / CPT® NON CUTANEOUS LOC
G9296 0 HCPCS / CPT® DOC SHARE DEC PRIOR PROC
G9297 0 HCPCS / CPT® NO DOC SHARE DEC PRIOR PROC
G9298 0 HCPCS / CPT® EVAL RISK VTE CARD 30D PRIOR
G9299 0 HCPCS / CPT® NO EVAL RISKK VTE CARD PRIOR
G9300 0 HCPCS / CPT® DOC MEDRSN NO COMPL ANTIBIO
G9301 0 HCPCS / CPT® DOC COMPL INF ANTIBIO
G9302 0 HCPCS / CPT® NORSN INCOMP INF ANTIBIO
G9303 0 HCPCS / CPT® NORSN NO PROS INFO OP RPT
G9304 0 HCPCS / CPT® PROS INFO OP RPT
G9305 0 HCPCS / CPT® NO INTERV REQ FOR LEAK
G9306 0 HCPCS / CPT® INTERV REQ FOR LEAK
G9307 0 HCPCS / CPT® NO RET FOR SURG W IN 30D
G9308 0 HCPCS / CPT® UNPL RET OR W/COMPL W/IN 30D
G9309 0 HCPCS / CPT® NO UNPLND HOSP READM IN 30D
G9310 0 HCPCS / CPT® UNPLND HOSP READM IN 30D
G9311 0 HCPCS / CPT® NO SURG SITE INFECTION
G9312 0 HCPCS / CPT® SURGICAL SITE INFECTION
G9313 0 HCPCS / CPT® DOCRSN NOT FIRST LINE AMOX
G9314 0 HCPCS / CPT® NORSN NOT FIRST LINE AMOX
G9315 0 HCPCS / CPT® DOC FIRST LINE AMOX
G9316 0 HCPCS / CPT® DOC COMM RISK CALC
G9317 0 HCPCS / CPT® NO DOC COMM RISK CALC
G9318 0 HCPCS / CPT® IMAGE STD NOMENCLATURE
G9319 0 HCPCS / CPT® IMAGE NOT STD NOMENCLATURE
G9321 0 HCPCS / CPT® DOC COUNT OF CT IN 12MO
G9322 0 HCPCS / CPT® NO DOC COUNT OF CT IN 12MO
G9326 0 HCPCS / CPT® CT DONE NO RAD DS INDEX, NRG
G9327 0 HCPCS / CPT® CT DONE RAD DS INDEX
G9329 0 HCPCS / CPT® NORSN NO DICOM FORMAT DOC
G9340 0 HCPCS / CPT® DICOM FORMAT DOC ON RPT
G9341 0 HCPCS / CPT® SRCH FOR CT W IN 12 MOS
G9342 0 HCPCS / CPT® NO SRCH FOR CT IN 12MO NORSN
G9344 0 HCPCS / CPT® SYSRSN NO DICOM SRCH
G9345 0 HCPCS / CPT® FOLLOW UP PULM NOD
G9347 0 HCPCS / CPT® NO FOLLOW UP PULM NOD NORSN
G9348 0 HCPCS / CPT® DOCRSN NO SINUS CT DX
G9349 0 HCPCS / CPT® DOC SINUS CT 28D
G9350 0 HCPCS / CPT® NO DOC SINUS CT 28D OR DX
G9351 0 HCPCS / CPT® DOC >1 SINUS CT W 90D DX
G9352 0 HCPCS / CPT® NOT >1 SINUS CT W 90D DX
G9353 0 HCPCS / CPT® MEDRSN >1 SINUS CT W 90D DX
G9354 0 HCPCS / CPT® 1 OR NO CT SINUS W/IN 90D DX
G9355 0 HCPCS / CPT® NO EARLY IND/DELIVERY
G9356 0 HCPCS / CPT® EARLY IND/DELIVERY
G9357 0 HCPCS / CPT® PP EVAL/EDU PERF
G9358 0 HCPCS / CPT® PP EVAL/EDU NOT PERF
G9359 0 HCPCS / CPT® DOC OF NEG OR MAN POS TB SCN
G9360 0 HCPCS / CPT® NO DOC OF NEG OR MAN POS TB
G9361 0 HCPCS / CPT® DOC RSN ELECT C-SEC/INDUCT
G9364 0 HCPCS / CPT® SINUS CAUS BAC INX
G9365 0 HCPCS / CPT® 1HIGH RISK MED ORD
G9366 0 HCPCS / CPT® 1HIGH RISK NO ORD
G9367 0 HCPCS / CPT® 2HIGH RISK MED ORD
G9368 0 HCPCS / CPT® 2HIGH RISK NO ORD
G9380 0 HCPCS / CPT® OFF ASSIS EOL ISS
G9381 0 HCPCS / CPT® DOC MED REAS NO OFFER EOL
G9382 0 HCPCS / CPT® NO OFF ASSIS EOL
G9383 0 HCPCS / CPT® RECD SCRN HCV INFEC
G9384 0 HCPCS / CPT® DOC MED REAS NO ANN SRN HCV
G9385 0 HCPCS / CPT® DOC PT REAS NOT REC HCV SRN
G9386 0 HCPCS / CPT® SCRN HCV INFEC NOT RECD
G9389 0 HCPCS / CPT® UNPLN RUP POST CAP
G9390 0 HCPCS / CPT® NO UNPLN RUP POST CAP
G9393 0 HCPCS / CPT® INI PHQ9 >9 REMISS <5
G9394 0 HCPCS / CPT® DX BIPOL, DEATH, NHRES, HOSP
G9395 0 HCPCS / CPT® INI PHQ9 >9 NO REMISS >=5
G9396 0 HCPCS / CPT® INI PHQ9 >9 NOT ASSESS
G9399 0 HCPCS / CPT® DOC DISC TX CHOICES
G9400 0 HCPCS / CPT® DOC REAS NO DISC TX OPT
G9401 0 HCPCS / CPT® NO DISC TX CHOICES
G9402 0 HCPCS / CPT® RECD F/U W/IN 30D DISCH
G9403 0 HCPCS / CPT® DOC REAS NO 30 DAY F/U
G9404 0 HCPCS / CPT® NO 30 DAY F/U
G9405 0 HCPCS / CPT® RECD F/U W/IN 7D DISCH
G9406 0 HCPCS / CPT® DOC REAS NO 7D F/U
G9407 0 HCPCS / CPT® NO 7D F/U
G9408 0 HCPCS / CPT® CARD TAMP W/IN 30D
G9409 0 HCPCS / CPT® NO CARD TAMP E/IN 30D
G9410 0 HCPCS / CPT® ADMIT W/IN 180D REQ REMOV
G9411 0 HCPCS / CPT® NO ADMIT W/IN 180D REQ REMOV
G9412 0 HCPCS / CPT® ADMIT W/IN 180D REQ SURG REV
G9413 0 HCPCS / CPT® NO ADMIT REQ SURG REV
G9414 0 HCPCS / CPT® 1DOSE MENIG VAC BTWN 11 & 13
G9415 0 HCPCS / CPT® NO 1DOSE MENI VAC BTWN 11&13
G9416 0 HCPCS / CPT® PT 1 TDAP BETW 10-13 YRS
G9417 0 HCPCS / CPT® PT NOT 1 TDAP BETW 10-13 YRS
G9418 0 HCPCS / CPT® LUNGCX BX RPT DOCS CLASS
G9419 0 HCPCS / CPT® MED REAS NOT INCL HISTO TYPE
G9420 0 HCPCS / CPT® SPEC SITE NO LUNG
G9421 0 HCPCS / CPT® LUNG CX BX RPT NO DOC CLASS
G9422 0 HCPCS / CPT® RPT DOC CLASS HISTO TYPE
G9423 0 HCPCS / CPT® MED REAS RPT NO HISTO TYPE
G9424 0 HCPCS / CPT® SITE NO LUNG OR LUNG CX
G9425 0 HCPCS / CPT® SPEC RPT NO DOC CLASS HISTO
G9426 0 HCPCS / CPT® IMPR MED TIME EDARR PAIN MED
G9427 0 HCPCS / CPT® NO IMPRO MED TIME PAIN MED
G9428 0 HCPCS / CPT® RPT PT CAT AND PT1
G9429 0 HCPCS / CPT® DOC MED REAS NO PT CAT
G9430 0 HCPCS / CPT® SPEC SITE NO CUTANEOUS
G9431 0 HCPCS / CPT® NO PT CAT AND PT1
G9432 0 HCPCS / CPT® ASTH CONTROLLED
G9434 0 HCPCS / CPT® ASTH NOT CONTROLLED
G9448 0 HCPCS / CPT® BORN 1945-1965
G9449 0 HCPCS / CPT® HX BLD TRANSF B/F 1992
G9450 0 HCPCS / CPT® HX INJEC DRUG USE
G9451 0 HCPCS / CPT® 1X SCRN HCV INFECT
G9452 0 HCPCS / CPT® DOC MED REAS NO SCRN HCV
G9453 0 HCPCS / CPT® PT REAS NO HCV INFECT
G9454 0 HCPCS / CPT® NO HCV INFECT SRN
G9455 0 HCPCS / CPT® ABD IMAG W/US, CT OR MRI
G9456 0 HCPCS / CPT® DOC MED PT REAS NO HCC SCRN
G9457 0 HCPCS / CPT® NO ABD IMAG W/O REASON
G9458 0 HCPCS / CPT® TOB USER RECD CESS INTERV
G9459 0 HCPCS / CPT® TOB NON-USER
G9460 0 HCPCS / CPT® NO TOB ASSESS OR CESS INTER
G9468 0 HCPCS / CPT® NO RECD CORTICO>=10MG/D >60D
G9469 0 HCPCS / CPT® REC CORTICO>60D OR 1RX 600MG
G9470 0 HCPCS / CPT® NO REC CORTICO>60D 1RX 600MG
G9471 0 HCPCS / CPT® W/IN 2YR DXA NOT ORDER
G9472 0 HCPCS / CPT® NO DXA NO MED HX NO RV SX
G9473 0 HCPCS / CPT® CHAP SERVICES AT HOSPICE
G9474 0 HCPCS / CPT® DIET COUNSEL AT HOSPICE
G9475 0 HCPCS / CPT® OTHER COUNSELOR AT HOSPICE
G9476 0 HCPCS / CPT® VOLUN SERVICE AT HOSPICE
G9477 0 HCPCS / CPT® CARE COORD AT HOSPICE
G9478 0 HCPCS / CPT® OTHE THERAPIST AT HOSPICE
G9479 0 HCPCS / CPT® PHARMACIST AT HOSPICE
G9480 0 HCPCS / CPT® ADMISSION TO MCCM
G9481 0 HCPCS / CPT® REMOTE E/M NEW PT 10MINS
G9482 0 HCPCS / CPT® REMOTE E/M NEW PT 20MINS
G9483 0 HCPCS / CPT® REMOTE E/M NEW PT 30MINS
G9484 0 HCPCS / CPT® REMOTE E/M NEW PT 45MINS
G9485 0 HCPCS / CPT® REMOTE E/M NEW PT 60MINS
G9486 0 HCPCS / CPT® REMOTE E/M EST. PT 10MINS
G9487 0 HCPCS / CPT® REMOTE E/M EST. PT 15MINS
G9488 0 HCPCS / CPT® REMOTE E/M EST. PT 25MINS
G9489 0 HCPCS / CPT® REMOTE E/M EST. PT 40MINS
G9490 0 HCPCS / CPT® JOINT REPLAC MOD HOME VISIT
G9496 0 HCPCS / CPT® DOC RSN NO ADENO/NEOPL DETEC
G9497 0 HCPCS / CPT® REC INST NO SMOKE DAY SURG
G9498 0 HCPCS / CPT® ABX REG PRESCRIBED
G9500 0 HCPCS / CPT® RAD EXPOS IND/EXP TM DOC
G9501 0 HCPCS / CPT® RAD EXPOS IND/EXP TM NO DOC
G9502 0 HCPCS / CPT® MED REAS NO PERF FOOT EXAM
G9503 0 HCPCS / CPT® PT TK TAMS HCL
G9504 0 HCPCS / CPT® DOC REAS NO HBV STATUS
G9505 0 HCPCS / CPT® ABX PRES W/IN 10 DYS OF SYMP
G9506 0 HCPCS / CPT® BIO IMM RESP MOD PRESC
G9507 0 HCPCS / CPT® DOC REAS ON STATIN OR CONTRA
G9508 0 HCPCS / CPT® DOC PT NOT ON STATIN
G9509 0 HCPCS / CPT® REMIS 12M PHQ-9 SCORE <5
G9510 0 HCPCS / CPT® REMIS 12M NOT PHQ-9 SCORE <5
G9511 0 HCPCS / CPT® PHQ-9 >9 DURING 12M TIME
G9512 0 HCPCS / CPT® INDIV PDC > 0.8
G9513 0 HCPCS / CPT® INDIV PDC NOT > 0.8
G9514 0 HCPCS / CPT® REQ RET OR W/IN 90D OF SURG
G9515 0 HCPCS / CPT® NO REAS, NO RET OR W/IN 90D
G9516 0 HCPCS / CPT® IMPR VIS ACUIT W/IN 90D
G9517 0 HCPCS / CPT® NO IMPR VIS ACUIT W/IN 90D
G9518 0 HCPCS / CPT® DOC ACTIVE INJ DRUG USE
G9519 0 HCPCS / CPT® FINAL REF +/- 0.5 W/IN 90D
G9520 0 HCPCS / CPT® REFRACT NOT +/- 0.5 W/IN 90D
G9521 0 HCPCS / CPT® ER AND IP HOSP <2 IN 12 MOS
G9522 0 HCPCS / CPT® ER/IP HOSP =/>2 IN 12 MOS
G9523 0 HCPCS / CPT® D/C HEMO OR PERIT DIALYSIS
G9524 0 HCPCS / CPT® REFER TO HOSPICE
G9525 0 HCPCS / CPT® DOC PT REAS NO HOSPICE REFER
G9526 0 HCPCS / CPT® NO REASON, NO REFER HOSPICE
G9529 0 HCPCS / CPT® MINOR BLUNT TRAUMA W/HEAD CT
G9530 0 HCPCS / CPT® MIN HD TRAUM GCS=15 W/CT ED
G9531 0 HCPCS / CPT® DOC SHNT/BR TUM/ON ANTIPL RX
G9532 0 HCPCS / CPT® INJ >24 HR IN ED GCS <15
G9533 0 HCPCS / CPT® INDIC FOR HEAD CT NOT VALID
G9534 0 HCPCS / CPT® ADV BRAIN IMAGE NOT ORDERED
G9535 0 HCPCS / CPT® NORMAL NEURO EXAM
G9536 0 HCPCS / CPT® DOC MED REAS ADV BRAIN IMAGE
G9537 0 HCPCS / CPT® DOC SYSTEM REAS ADV IMAGING
G9538 0 HCPCS / CPT® ADV BRAIN IMAGE ORDERED
G9539 0 HCPCS / CPT® INTENT POT REMV TIME PLACEMT
G9540 0 HCPCS / CPT® PT ALIVE 3 MOS POST PROC
G9541 0 HCPCS / CPT® FILTER GONE AFT 3MOS PLACMT
G9542 0 HCPCS / CPT® DOC REASS APPR REMO FILT 3MS
G9543 0 HCPCS / CPT® DOC 2X RE-ASSESS FILT REMOV
G9544 0 HCPCS / CPT® NO FILT REMOV W/IN 3MOS PLCM
G9547 0 HCPCS / CPT® INCID FINDING LIVER/KID/ADRE
G9548 0 HCPCS / CPT® ABD IMAG AND FOLLOWUP REC
G9549 0 HCPCS / CPT® DOC MED RSN FOR FOLLOW IMAG
G9550 0 HCPCS / CPT® ABD IMAG AND FOLLOWUP NO REC
G9551 0 HCPCS / CPT® ABD IMAG NO LES,KID/LIVR/ADR
G9552 0 HCPCS / CPT® INC THYR NODE <1.0 IN RPT
G9553 0 HCPCS / CPT® PRIOR THYROID DISE DX
G9554 0 HCPCS / CPT® CT/CTA/MRI/A CHST FOLL REC
G9555 0 HCPCS / CPT® DOC MED RSN FOR FOLLUP IMAGE
G9556 0 HCPCS / CPT® CT/CTA/MRI/A NO FOLLUP IMAG
G9557 0 HCPCS / CPT® CT/CTA/MRI/A NO THYR <1.0CM
G9558 0 HCPCS / CPT® TX BETA-LACTAM ABX THERAPY
G9559 0 HCPCS / CPT® DOC MED REAS NO ABX THERAPY
G9560 0 HCPCS / CPT® NO BETA-LACTAM ABX THER, RNG
G9561 0 HCPCS / CPT® PRESC OPIATES >6 WKS
G9562 0 HCPCS / CPT® FOLL-UP EVAL Q3MO OPIOD TX
G9563 0 HCPCS / CPT® NO F/U EVAL Q3MO OPIOD TX
G9573 0 HCPCS / CPT® REMIS 6M W/6MOS PHQ-9 <5
G9574 0 HCPCS / CPT® REMIS 6M W/O 6MOS PHQ-9 <5
G9577 0 HCPCS / CPT® PRESC OPIATES >6 WKS
G9578 0 HCPCS / CPT® DOC OPIOID TX 1X DURING THER
G9579 0 HCPCS / CPT® NO DOC OPIOID TX 1X AT THER
G9580 0 HCPCS / CPT® DOOR TO PUNC TIME <2HRS
G9582 0 HCPCS / CPT® DOOR TO PUNC TIME >2HR, NRG
G9583 0 HCPCS / CPT® PRESC OPIATES >6 WKS
G9584 0 HCPCS / CPT® EVAL OPIOID USE INSTR/PT INT
G9585 0 HCPCS / CPT® NO EVAL OPI USE INSTR/INTV
G9593 0 HCPCS / CPT® LOW PECARN PED HEAD TRAUMA
G9594 0 HCPCS / CPT® GSC >15 & HD CT BY ED MD
G9595 0 HCPCS / CPT® DOC SHNT/TUM/COAG/THROMBOCYT
G9596 0 HCPCS / CPT® HD INJ >24H/GCS >15/NO RES
G9597 0 HCPCS / CPT® NO LOW PECARN PED HEAD TRAUM
G9598 0 HCPCS / CPT® AOR ANE 5.5-5.9 CM MAX DIAM
G9599 0 HCPCS / CPT® AOR ANE >=6.0 CM MAX DIAM
G9600 0 HCPCS / CPT® SYMP AAA URGENT REPAIR
G9601 0 HCPCS / CPT® PT DCHG HOME POST OP DAY 7
G9602 0 HCPCS / CPT® PT NO DCHG HOME POSTOP DAY 7
G9603 0 HCPCS / CPT® PT SURV IMPROV BSLINE TX
G9604 0 HCPCS / CPT® PT SURV RESULTS NOT AVAIL
G9605 0 HCPCS / CPT® SURV SCORE NO IMPROV W/TX
G9606 0 HCPCS / CPT® INTRAOP CYST EVAL TRAC INJ
G9607 0 HCPCS / CPT® DOC RSN NO INTEROP CYSTO
G9608 0 HCPCS / CPT® INTRAOP CYST EVAL NOT DONE
G9609 0 HCPCS / CPT® DOC ORDER ANTI-PLAT
G9610 0 HCPCS / CPT® DOC MD RSN NO ANTIPLA
G9611 0 HCPCS / CPT® NO DOC ORDER ANTI-PLAT RNG
G9612 0 HCPCS / CPT® PHO DOC >1 CECAL LDMK COM EX
G9613 0 HCPCS / CPT® DOC POST SURG ANATOMY
G9614 0 HCPCS / CPT® NO PHOTODOC CECAL LDMK EXAM
G9615 0 HCPCS / CPT® PRE-OP ASST DOC
G9616 0 HCPCS / CPT® DOC RSN NO PREOP ASSMT
G9617 0 HCPCS / CPT® PRE-OP ASST NOT DOC, RNG
G9618 0 HCPCS / CPT® DOC SCR UTER MAL OR US/SAMP
G9620 0 HCPCS / CPT® NO SCR UTR MALIG/US/SAMP RNG
G9621 0 HCPCS / CPT® SCR UNHEAL ETOH W/COUNSEL
G9622 0 HCPCS / CPT® NO UNHEAL ETOH USER
G9623 0 HCPCS / CPT® DOC MED RSN NO SCR ETOH USE
G9624 0 HCPCS / CPT® NO ETOH SCR/NO COUNC/NRG
G9625 0 HCPCS / CPT® PTBLAD INJ AT SURG/1MO POST
G9626 0 HCPCS / CPT® MED RSN NO RPT BALDDER INJ
G9627 0 HCPCS / CPT® NO BLD INJ AT SURG/1 MO POS
G9628 0 HCPCS / CPT® BOWEL INJ AT SURG/1MOS POST
G9629 0 HCPCS / CPT® MED RSN NO RPT BOWEL INJ
G9630 0 HCPCS / CPT® NO BOW INJ AT SURG/1MOS POST
G9631 0 HCPCS / CPT® URTR INJ AT SURG/1MOS POST
G9632 0 HCPCS / CPT® MED RSN FOR NO RPT URET INJ
G9633 0 HCPCS / CPT® NO URET INJ AT SURG/1MO POST
G9634 0 HCPCS / CPT® QUAL LIFE TOOL 2X SAME/IMPR
G9635 0 HCPCS / CPT® NO DOC RSN DO QUAL LIFE ASSM
G9636 0 HCPCS / CPT® NO LIFE ASST 2X SAME/DECR
G9637 0 HCPCS / CPT® DOC >1 DOSE REDUC TECH
G9638 0 HCPCS / CPT® NO DOC >1 DOSE REDUC TECH
G9639 0 HCPCS / CPT® AMP NO REQD IN48H IELER PROC
G9640 0 HCPCS / CPT® DOC PLAN HYBRID/STAGE PROC
G9641 0 HCPCS / CPT® AMP REQD W/IN 48H IELER PROC
G9642 0 HCPCS / CPT® CURRENT SMOKER
G9643 0 HCPCS / CPT® ELECTIVE SURGERY
G9644 0 HCPCS / CPT® NO SMOK B/4 ANES DAY OF SURG
G9645 0 HCPCS / CPT® HAD SMOKE B/4 ANES DAY SURG
G9646 0 HCPCS / CPT® PT W/90D MRS 0-2
G9647 0 HCPCS / CPT® NO MRS SCORE IN 90D FOLLOWUP
G9648 0 HCPCS / CPT® PT W/90D MRS >2
G9649 0 HCPCS / CPT® PSORI TOOL DOC W/BENCHMK
G9651 0 HCPCS / CPT® PSORI TOOL DOC/NO BNCHMK MET
G9654 0 HCPCS / CPT® MON ANESTH CARE
G9655 0 HCPCS / CPT® TOC TOOL INCL KEY ELEM
G9656 0 HCPCS / CPT® PT DIRECT ANESTH LOC TO PACU
G9658 0 HCPCS / CPT® TOC TOOL INCL ELEM NOT USED