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.

• G2161

  Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period

• G2162

  Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period; or have prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period

• G2163

  Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period

• G2164

  Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period

• G2165

  Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period; or did not have a prior influenza virus vaccine adverse reaction any time before or during the measurement period

• G2166

  Patient refused to participate at admission and/or discharge; patient unable to complete the neck fs prom at admission or discharge due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, and a suitable proxy/recorder is not available; patient self-discharged early; medical reason

• G2167

  Residual score for the neck impairment successfully calculated and the score was less than zero (< 0)

• G2168

  Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes

• G2169

  Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes

• G2170

  Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed

• ---

  ---

  Continued

• G2171

  Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic supervision and interpretation, when performed

• G2172

  All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project

• G2173

  Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)

• G2174

  Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

• G2175

  Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease)

• G2176

  Outpatient, ed, or observation visits that result in an inpatient admission

• G2177

  Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date

• G2178

  Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation

• G2179

  Clinician documented that patient had medical reason for not performing lower extremity neurological exam

• G2180

  Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee

• G2181

  Bmi not documented due to medical reason or patient refusal of height or weight measurement

• G2182

  Patient receiving first-time biologic and/or immune response modifier therapy

• G2183

  Documentation patient unable to communicate and informant not available

• G2184

  Patient does not have a caregiver

• G2185

  Documentation caregiver is trained and certified in dementia care

• G2186

  Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed

• G2187

  Patients with clinical indications for imaging of the head: head trauma

• G2188

  Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age

• G2189

  Patients with clinical indications for imaging of the head: abnormal neurologic exam

• G2190

  Patients with clinical indications for imaging of the head: headache radiating to the neck

• ---

  ---

  Continued

• G2191

  Patients with clinical indications for imaging of the head: positional headaches

• G2192

  Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age

• G2193

  Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)

• G2194

  Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior

• G2195

  Patients with clinical indications for imaging of the head: occipital headache in children

• G2196

  Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method

• G2197

  Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user

• G2198

  Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g., limited life expectancy, other medical reasons)

• G2199

  Patient not screened for unhealthy alcohol use using a systematic screening method

• G2200

  Patient identified as an unhealthy alcohol user received brief counseling

• G2201

  Documentation of medical reason(s) for not providing brief counseling (e.g., limited life expectancy, other medical reasons)

• G2202

  Patient did not receive brief counseling if identified as an unhealthy alcohol user

• G2203

  Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g., limited life expectancy, other medical reasons)

• G2204

  Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period

• G2205

  Patients with pregnancy during adjuvant treatment course

• G2206

  Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy

• G2207

  Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)

• G2208

  Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy

• G2209

  Patient refused to participate

• G2210

  Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given