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.

• G9222

  Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3

• G9223

  Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%

• G9224

  Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)

• G9225

  Foot exam was not performed, reason not given

• G9226

  Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)

• G9227

  Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter

• G9228

  Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)

• G9229

  Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)

• G9230

  Chlamydia, gonorrhea, and syphilis not screened, reason not given

• G9231

  Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period

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  Continued

• G9232

  Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)

• G9233

  All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient

• G9234

  I intend to report the total knee replacement measures group

• G9235

  All quality actions for the applicable measures in the general surgery measures group have been performed for this patient

• G9236

  All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient

• G9237

  I intend to report the general surgery measures group

• G9238

  I intend to report the optimizing patient exposure to ionizing radiation measures group

• G9239

  Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)

• G9240

  Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated

• G9241

  Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated

• G9242

  Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed

• G9243

  Documentation of viral load less than 200 copies/ml

• G9244

  Antiretroviral thereapy not prescribed

• G9245

  Antiretroviral therapy prescribed

• G9246

  Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart

• G9247

  Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart

• G9248

  Patient did not have a medical visit in the last 6 months

• G9249

  Patient had a medical visit in the last 6 months

• G9250

  Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment

• G9251

  Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment

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  Continued

• G9252

  Adenoma(s) or other neoplasm detected during screening colonoscopy

• G9253

  Adenoma(s) or other neoplasm not detected during screening colonoscopy

• G9254

  Documentation of patient discharged to home later than post-operative day 2 following cea or cas

• G9255

  Documentation of patient discharged to home no later than post operative day 2 following cea or cas

• G9256

  Documentation of patient death following cas

• G9257

  Documentation of patient stroke following cas

• G9258

  Documentation of patient stroke following cea

• G9259

  Documentation of patient survival and absence of stroke following cas

• G9260

  Documentation of patient death following cea

• G9261

  Documentation of patient survival and absence of stroke following cea

• G9262

  Documentation of patient death in the hospital following endovascular aaa repair

• G9263

  Documentation of patient discharged alive following endovascular aaa repair

• G9264

  Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)

• G9265

  Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access

• G9266

  Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access

• G9267

  Documentation of patient with one or more complications or mortality within 30 days

• G9268

  Documentation of patient with one or more complications within 90 days

• G9269

  Documentation of patient without one or more complications and without mortality within 30 days

• G9270

  Documentation of patient without one or more complications within 90 days

• G9271

  Ldl value < 100