HCPCS Code Details - G9638

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9638
Description

Long description:
At least two orders for the same high-risk medications not ordered

Short description:
>= 2 same hi-rsk med not ord

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, 2018
Date added Added Jan 01, 2016
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 G9367 · At least two different high-risk medications ordered

  • HCPCS G9368 · At least two different high-risk medications not ordered

  • HCPCS G9637 · At least two orders for the same high-risk medication

  • HCPCS G9639 · Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure


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”