HCPCS Code Details - G9804

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9804
Description

Long description:
Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami

Short description:
Pt not presc 135 day trmt

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, 2017
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 G9803 · Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami

  • HCPCS G8568 · Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given

  • HCPCS G9526 · Patient was not referred to hospice care, reason not given

  • HCPCS G9854 · Patient was not admitted to the icu in the last 30 days of life

  • HCPCS G9856 · Patient was not admitted to hospice

  • HCPCS G9805 · Patients who use hospice services any time during the measurement period


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”