HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• G0042

  Referral to physical, occupational, speech, or recreational therapy

• G0043

  Patients with mechanical prosthetic heart valve

• G0044

  Patients with moderate or severe mitral stenosis

• G0045

  Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention

• G0046

  Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention

• G0047

  Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed

• G0048

  Patients who receive palliative care services any time during the intake period through the end of the measurement year

• G0049

  With maintenance hemodialysis (in-center and home hd) for the complete reporting month

• G0050

  Patients with a catheter that have limited life expectancy

• G0051

  Patients under hospice care in the current reporting month

• G0052

  Patients on peritoneal dialysis for any portion of the reporting month

• G0053

  Advancing rheumatology patient care mips value pathways

• G0054

  Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways

• G0055

  Advancing care for heart disease mips value pathways

• G0056

  Optimizing chronic disease management mips value pathways

• G0057

  Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways

• G0058

  Improving care for lower extremity joint repair mips value pathways

• G0059

  Patient safety and support of positive experiences with anesthesia mips value pathways

• G0060

  Allergy/immunology mips specialty set

• G0061

  Anesthesiology mips specialty set

• G0062

  Audiology mips specialty set

• G0063

  Cardiology mips specialty set

• G0064

  Certified nurse midwife mips specialty set

• G0065

  Chiropractic medicine mips specialty set

• G0066

  Clinical social work mips specialty set

• G0067

  Dentistry mips specialty set

• G0068

  Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0069

  Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0070

  Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0071

  Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only

• G0076

  Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0077

  Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0078

  Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0079

  Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0080

  Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0081

  Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0082

  Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0083

  Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0084

  Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0085

  Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0086

  Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0087

  Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

• G0088

  Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0089

  Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0090

  Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

• G0101

  Cervical or vaginal cancer screening; pelvic and clinical breast examination

• G0102

  Prostate cancer screening; digital rectal examination

• G0108

  Diabetes outpatient self-management training services, individual, per 30 minutes

• G0109

  Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes

• G0128

  Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes