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.

• G6053

  Methadone

• G6054

  Methsuximide

• G6055

  Nicotine

• G6056

  Opiate(s), drug and metabolites, each procedure

• G6057

  Phenothiazine

• G6058

  Drug confirmation, each procedure

• G8126

  Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase

• G8127

  Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase

• G8128

  Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure

• G8395

  Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function

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  Continued

• G8396

  Left ventricular ejection fraction (lvef) not performed or documented

• G8397

  Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy

• G8398

  Dilated macular or fundus exam not performed

• G8399

  Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed

• G8400

  Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given

• G8401

  Clinician documented that patient was not an eligible candidate for screening

• G8404

  Lower extremity neurological exam performed and documented

• G8405

  Lower extremity neurological exam not performed

• G8406

  Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure

• G8410

  Footwear evaluation performed and documented

• G8415

  Footwear evaluation was not performed

• G8416

  Clinician documented that patient was not an eligible candidate for footwear evaluation measure

• G8417

  Bmi is documented above normal parameters and a follow-up plan is documented

• G8418

  Bmi is documented below normal parameters and a follow-up plan is documented

• G8419

  Bmi documented outside normal parameters, no follow-up plan documented, no reason given

• G8420

  Bmi is documented within normal parameters and no follow-up plan is required

• G8421

  Bmi not documented and no reason is given

• G8422

  Bmi not documented, documentation the patient is not eligible for bmi calculation

• G8427

  Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications

• G8428

  Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given

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  Continued

• G8430

  Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)

• G8431

  Screening for depression is documented as being positive and a follow-up plan is documented

• G8432

  Depression screening not documented, reason not given

• G8433

  Screening for depression not completed, documented patient or medical reason

• G8442

  Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter

• G8450

  Beta-blocker therapy prescribed

• G8451

  Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)

• G8452

  Beta-blocker therapy not prescribed

• G8458

  Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior to the reporting period, patient declines, patient not a candidate for antiviral treatment)

• G8460

  Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c

• G8461

  Patient receiving antiviral treatment for hepatitis c during the measurement period

• G8464

  Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined

• G8465

  High or very high risk of recurrence of prostate cancer

• G8473

  Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed

• G8474

  Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)

• G8475

  Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given

• G8476

  Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg

• G8477

  Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg

• G8478

  Blood pressure measurement not performed or documented, reason not given

• G8482

  Influenza immunization administered or previously received