HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • G9702

    Patients who use hospice services any time during the measurement period

  • G9703

    Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date

  • G9704

    Ajcc breast cancer stage i: t1 mic or t1a documented

  • G9705

    Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented

  • G9706

    Low (or very low) risk of recurrence, prostate cancer

  • G9707

    Patient received hospice services any time during the measurement period

  • G9708

    Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy

  • G9709

    Hospice services used by patient any time during the measurement period

  • G9710

    Patient was provided hospice services any time during the measurement period

  • G9711

    Patients with a diagnosis or past history of total colectomy or colorectal cancer

  • G9712

    Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis

  • G9713

    Patients who use hospice services any time during the measurement period

  • G9714

    Patient is using hospice services any time during the measurement period

  • G9715

    Patients who use hospice services any time during the measurement period

  • G9716

    Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason

  • G9717

    Documentation stating the patient has had a diagnosis of bipolar disorder

  • G9718

    Hospice services for patient provided any time during the measurement period

  • G9719

    Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

  • G9720

    Hospice services for patient occurred any time during the measurement period

  • G9721

    Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

  • G9722

    Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the cr has been or is 4.0 or higher

  • G9723

    Hospice services for patient received any time during the measurement period

  • G9724

    Patients who had documentation of use of anticoagulant medications overlapping the measurement year

  • G9725

    Patients who use hospice services any time during the measurement period

  • G9726

    Patient refused to participate

  • G9727

    Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9728

    Patient refused to participate

  • G9729

    Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9730

    Patient refused to participate

  • G9731

    Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9732

    Patient refused to participate

  • G9733

    Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9734

    Patient refused to participate

  • G9735

    Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9736

    Patient refused to participate

  • G9737

    Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9738

    Patient refused to participate

  • G9739

    Patient unable to complete the general orthopedic fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available

  • G9740

    Hospice services given to patient any time during the measurement period

  • G9741

    Patients who use hospice services any time during the measurement period

  • G9742

    Psychiatric symptoms assessed

  • G9743

    Psychiatric symptoms not assessed, reason not otherwise specified

  • G9744

    Patient not eligible due to active diagnosis of hypertension

  • G9745

    Documented reason for not screening or recommending a follow-up for high blood pressure

  • G9746

    Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)

  • G9747

    Patient is undergoing palliative dialysis with a catheter

  • G9748

    Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant

  • G9749

    Patient is undergoing palliative dialysis with a catheter

  • G9750

    Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant

  • G9751

    Patient died at any time during the 24-month measurement period