HCPCS Code Details - G9457

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9457
Description

Long description:
Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period

Short description:
Pt no abd img no doc rsn

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code C - Change in long description of procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 2015
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9456 · Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)

  • HCPCS G9246 · Patient did not have at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits

  • HCPCS G9248 · Patient did not have a medical visit in the last 6 months

  • HCPCS G9377 · Patient did not have the retina attached after 6 months following only one surgery

  • HCPCS G9379 · Patient did not achieve flat retinas six months post surgery

  • HCPCS G9404 · Patient did not receive follow-up on the date of discharge or within 30 days after discharge

  • HCPCS G9407 · Patient did not receive follow-up on or within 7 days after discharge

  • HCPCS G9415 · Patient did not have one dose of meningococcal vaccine on or between the patient's 11th and 13th birthdays

  • HCPCS G9417 · Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays

  • HCPCS G9499 · Patient did not start or is not receiving antiviral treatment for hepatitis c during the measurement period

  • HCPCS G9515 · Patient did not require a return to the operating room within 90 days of surgery

  • HCPCS G9458 · Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”