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.

• G9113

  Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

• G9114

  Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

• G9115

  Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression, recurrence, or metastases (for use in a medicare-approved demonstration project)

• G9116

  Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a medicare-approved demonstration project)

• G9117

  Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)

• G9123

  Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)

• G9124

  Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)

• G9125

  Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)

• G9126

  Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)

• G9128

  Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, stage i (for use in a medicare-approved demonstration project)

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  Continued

• G9129

  Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or higher (for use in a medicare-approved demonstration project)

• G9130

  Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)

• G9131

  Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)

• G9132

  Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a medicare-approved demonstration project)

• G9133

  Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)

• G9134

  Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)

• G9135

  Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage iii, iv, not relapsed, not refractory (for use in a medicare-approved demonstration project)

• G9136

  Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a medicare-approved demonstration project)

• G9137

  Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a medicare-approved demonstration project)

• G9138

  Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)

• G9139

  Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, staging in progress, not listed (for use in a medicare-approved demonstration project)

• G9140

  Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for the cms demonstration project; the following measures should be present: the stay must be equal to or greater than 4 hours; weather or other conditions must prevent transfer or the case falls into a category of monitoring and observation cases that are permitted by the rules of the demonstration; there is a maximum frontier extended stay clinic (fesc) visit of 48 hours, except in the case when weather or other conditions prevent transfer; payment is made on each period up to 4 hours, after the first 4 hours

• G9143

  Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)

• G9147

  Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration

• G9148

  National committee for quality assurance - level 1 medical home

• G9149

  National committee for quality assurance - level 2 medical home

• G9150

  National committee for quality assurance - level 3 medical home

• G9151

  Mapcp demonstration - state provided services

• G9152

  Mapcp demonstration - community health teams

• G9153

  Mapcp demonstration - physician incentive pool

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  Continued

• G9156

  Evaluation for wheelchair requiring face to face visit with physician

• G9157

  Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes

• G9158

  Motor speech functional limitation, discharge status, at discharge from therapy or to end reporting

• G9159

  Spoken language comprehension functional limitation, current status at therapy episode outset and at reporting intervals

• G9160

  Spoken language comprehension functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

• G9161

  Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting

• G9162

  Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals

• G9163

  Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

• G9164

  Spoken language expression functional limitation, discharge status at discharge from therapy or to end reporting

• G9165

  Attention functional limitation, current status at therapy episode outset and at reporting intervals

• G9166

  Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

• G9167

  Attention functional limitation, discharge status at discharge from therapy or to end reporting

• G9168

  Memory functional limitation, current status at therapy episode outset and at reporting intervals

• G9169

  Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

• G9170

  Memory functional limitation, discharge status at discharge from therapy or to end reporting

• G9171

  Voice functional limitation, current status at therapy episode outset and at reporting intervals

• G9172

  Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting

• G9173

  Voice functional limitation, discharge status at discharge from therapy or to end reporting

• G9174

  Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals

• G9175

  Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting