HCPCS G-Codes
Procedures/Professional Services (Temporary Codes)

Temporary G codes are assigned to services and procedures that are under review before being included in the CPT coding system. Payment for these services is under the jurisdiction of the local carriers.

  • G0008

    Administration of influenza virus vaccine

  • G0009

    Administration of pneumococcal vaccine

  • G0010

    Administration of hepatitis b vaccine

  • G0027

    Semen analysis; presence and/or motility of sperm excluding huhner

  • G0028

    Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)

  • 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

  • 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

  • G0031

    Palliative care services given to patient any time during the measurement period

  • 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

  • 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
  • Continued

  • G0034

    Patients receiving palliative care during the measurement period

  • G0035

    Patient has any emergency department encounter during the performance period with place of service indicator 23

  • G0036

    Patient or care partner decline assessment

  • 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

  • G0038

    Clinician determines patient does not require referral

  • G0039

    Patient not referred, reason not otherwise specified

  • G0040

    Patient already receiving physical/occupational/speech/recreational therapy during the measurement period

  • G0041

    Patient and/or care partner decline referral

  • 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
  • Continued

  • 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)