HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• G9813

  Patient did not die within 30 days of the procedure or during the index hospitalization

• G9814

  Death occurring during the index acute care hospitalization

• G9815

  Death did not occur during the index acute care hospitalization

• G9816

  Death occurring after discharge from the hospital but within 30 days post procedure

• G9817

  Death did not occur after discharge from the hospital within 30 days post procedure

• G9818

  Documentation of sexual activity

• G9819

  Patients who use hospice services any time during the measurement period

• G9820

  Documentation of a chlamydia screening test with proper follow-up

• G9821

  No documentation of a chlamydia screening test with proper follow-up

• G9822

  Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)

• G9823

  Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation

• G9824

  Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation

• G9825

  Her-2/neu negative or undocumented/unknown

• G9826

  Patient transferred to practice after initiation of chemotherapy

• G9827

  Her2-targeted therapies not administered during the initial course of treatment

• G9828

  Her2-targeted therapies administered during the initial course of treatment

• G9829

  Breast adjuvant chemotherapy administered

• G9830

  Her-2/neu positive

• G9831

  Ajcc stage at breast cancer diagnosis = ii or iii

• G9832

  Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis = t1c

• G9833

  Patient transfer to practice after initiation of chemotherapy

• G9834

  Patient has metastatic disease at diagnosis

• G9835

  Trastuzumab administered within 12 months of diagnosis

• G9836

  Reason for not administering trastuzumab documented (e.g. patient declined, patient died, patient transferred, contraindication or other clinical exclusion, neoadjuvant chemotherapy or radiation not complete)

• G9837

  Trastuzumab not administered within 12 months of diagnosis

• G9838

  Patient has metastatic disease at diagnosis

• G9839

  Anti-egfr monoclonal antibody therapy

• G9840

  Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab

• G9841

  Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab

• G9842

  Patient has metastatic disease at diagnosis

• G9843

  Ras (kras or nras) gene mutation

• G9844

  Patient did not receive anti-egfr monoclonal antibody therapy

• G9845

  Patient received anti-egfr monoclonal antibody therapy

• G9846

  Patients who died from cancer

• G9847

  Patient received systemic cancer-directed therapy in the last 14 days of life

• G9848

  Patient did not receive systemic cancer-directed therapy in the last 14 days of life

• G9849

  Patients who died from cancer

• G9850

  Patient had more than one emergency department visit in the last 30 days of life

• G9851

  Patient had one or less emergency department visits in the last 30 days of life

• G9852

  Patients who died from cancer

• G9853

  Patient admitted to the icu in the last 30 days of life

• G9854

  Patient was not admitted to the icu in the last 30 days of life

• G9855

  Patients who died from cancer

• G9856

  Patient was not admitted to hospice

• G9857

  Patient admitted to hospice

• G9858

  Patient enrolled in hospice

• G9859

  Patients who died from cancer

• G9860

  Patient spent less than three days in hospice care

• G9861

  Patient spent greater than or equal to three days in hospice care

• G9862

  Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)