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.

• 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

• ---

  ---

  Continued

• 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

• 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)

• ---

  ---

  Continued

• 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

• G9272

  Ldl value >= 100

• G9273

  Blood pressure has a systolic value of < 140 and a diastolic value of < 90

• G9274

  Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90

• G9275

  Documentation that patient is a current non-tobacco user

• G9276

  Documentation that patient is a current tobacco user

• G9277

  Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)

• G9278

  Documentation that the patient is not on daily aspirin or anti-platelet regimen

• G9279

  Pneumococcal screening performed and documentation of vaccination received prior to discharge

• G9280

  Pneumococcal vaccination not administered prior to discharge, reason not specified

• G9281

  Screening performed and documentation that vaccination not indicated/patient refusal

• G9282

  Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)

• G9283

  Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation

• G9284

  Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation