2010 HCPCS G0008 Administration of influenza virus vaccine2010 HCPCS G0009 Administration of pneumococcal vaccine2010 HCPCS G0010 Administration of hepatitis b vaccine2010 HCPCS G0027 Semen analysis; presence and/or motility of sperm excluding huhner2010 HCPCS G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination2010 HCPCS G0102 Prostate cancer screening; digital rectal examination2010 HCPCS G0103 Prostate cancer screening; prostate specific antigen test (psa)2010 HCPCS G0104 Colorectal cancer screening; flexible sigmoidoscopy2010 HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk2010 HCPCS G0106 Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema2010 HCPCS G0107 TERMINATED 12/31/2006 : Colorectal cancer screening; fecal-occult blood test, 1-3 simultaneous determinations2010 HCPCS G0108 Diabetes outpatient self-management training services, individual, per 30 minutes2010 HCPCS G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes2010 HCPCS G0117 Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist2010 HCPCS G0118 Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalomologist2010 HCPCS G0120 Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.2010 HCPCS G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk2010 HCPCS G0122 Colorectal cancer screening; barium enema2010 HCPCS G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision2010 HCPCS G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician2010 HCPCS G0127 Trimming of dystrophic nails, any number2010 HCPCS G0128 Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes2010 HCPCS G0129 Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization treatment program, per session (45 minutes or more)2010 HCPCS G0130 Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)2010 HCPCS G0141 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician2010 HCPCS G0143 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision2010 HCPCS G0144 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision2010 HCPCS G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision2010 HCPCS G0147 Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision2010 HCPCS G0148 Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening2010 HCPCS G0151 Services of a physical therapist in home health or hospice settings, each 15 minutes2010 HCPCS G0152 Services of an occupational therapist in home health or hospice settings, each 15 minutes2010 HCPCS G0153 Services of a speech and language pathologist in home health or hospice settings, each 15 minutes2010 HCPCS G0154 Services of skilled nurse in home health, or nurse in hospice settings, each 15 minutes2010 HCPCS G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes2010 HCPCS G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes2010 HCPCS G0166 External counterpulsation, per treatment session2010 HCPCS G0168 Wound closure utilizing tissue adhesive(s) only2010 HCPCS G0173 Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session2010 HCPCS G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present2010 HCPCS G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)2010 HCPCS G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)2010 HCPCS G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period2010 HCPCS G0180 Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period2010 HCPCS G0181 Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more2010 HCPCS G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more2010 HCPCS G0186 Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)2010 HCPCS G0202 Screening mammography, producing direct digital image, bilateral, all views2010 HCPCS G0204 Diagnostic mammography, producing direct digital image, bilateral, all views2010 HCPCS G0206 Diagnostic mammography, producing direct digital image, unilateral, all views2010 HCPCS G0219 Pet imaging whole body; melanoma for non-covered indications2010 HCPCS G0235 Pet imaging, any site, not otherwise specified2010 HCPCS G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)2010 HCPCS G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)2010 HCPCS G0239 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)2010 HCPCS G0243 TERMINATED 12/31/2006 : Multi-source photon stereotactic radiosurgery, delivery including collimator changes and custom plugging, complete course of treatment, all lesions2010 HCPCS G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b)evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education2010 HCPCS G0246 Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education2010 HCPCS G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails2010 HCPCS G0248 Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results2010 HCPCS G0249 Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests2010 HCPCS G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests2010 HCPCS G0251 Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment2010 HCPCS G0252 Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g. initial staging of axillary lymph nodes)2010 HCPCS G0255 Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve2010 HCPCS G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility2010 HCPCS G0259 Injection procedure for sacroiliac joint; arthrograpy2010 HCPCS G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography2010 HCPCS G0265 TERMINATED 12/31/2007 : Cryopreservation, freezing and storage of cells for therapeutic use, each cell line2010 HCPCS G0266 TERMINATED 12/31/2007 : Thawing and expansion of frozen cells for therapeutic use, each aliquot2010 HCPCS G0267 TERMINATED 12/31/2007 : Bone marrow or peripheral stem cell harvest, modification or treatment to eliminate cell type(s) (e.g. t-cells, metastatic carcinoma)2010 HCPCS G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing2010 HCPCS G0269 Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g. angioseal plug, vascular plug)2010 HCPCS G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes2010 HCPCS G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes2010 HCPCS G0275 Renal angiography, non-selective, one or both kidneys, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of any catheter in the abdominal aorta at or near the origins (ostia) of the renal arteries, injection of dye, flush aortogram, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)2010 HCPCS G0278 Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)2010 HCPCS G0281 Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care2010 HCPCS G0282 Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g02812010 HCPCS G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2010 HCPCS G0288 Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery2010 HCPCS G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chrondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee2010 HCPCS G0290 Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel2010 HCPCS G0291 Transcatheter placement of a drug eluting intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessel2010 HCPCS G0293 Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a medicare qualifying clinical trial, per day2010 HCPCS G0294 Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a medicare qualifying clinical trial, per day2010 HCPCS G0295 Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses2010 HCPCS G0297 TERMINATED 12/31/2007 : Insertion of single chamber pacing cardioverter defibrillator pulse generator2010 HCPCS G0298 TERMINATED 12/31/2007 : Insertion of dual chamber pacing cardioverter defibrillator pulse generator2010 HCPCS G0299 TERMINATED 12/31/2007 : Insertion or repositioning of electrode lead for single chamber pacing cardioverter defibrillator and insertion of pulse generator2010 HCPCS G0300 TERMINATED 12/31/2007 : Insertion or repositioning of electrode lead(s) for dual chamber pacing cardioverter defibrillator and insertion of pulse generator2010 HCPCS G0302 Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services2010 HCPCS G0303 Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services2010 HCPCS G0304 Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services2010 HCPCS G0305 Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services2010 HCPCS G0306 Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count2010 HCPCS G0307 Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)2010 HCPCS G0308 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month2010 HCPCS G0309 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month2010 HCPCS G0310 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month2010 HCPCS G0311 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month2010 HCPCS G0312 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month2010 HCPCS G0313 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month2010 HCPCS G0314 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services, during the course of treatment, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month2010 HCPCS G0315 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month2010 HCPCS G0316 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month2010 HCPCS G0317 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients 20 years of age and over; with 4 or more face-to-face physician visits per month2010 HCPCS G0318 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients 20 years of age and over; with 2 or 3 face-to-face physician visits per month2010 HCPCS G0319 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services during the course of treatment, for patients 20 years of age and over; with 1 face-to-face physician visit per month2010 HCPCS G0320 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services for home dialysis patients per full month; for patients under two years of age to include monitoring for adequacy of nutrition, assessment of growth and development, and counseling of parents2010 HCPCS G0321 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services for home dialysis patients per full month; for patients two to eleven years of age to include monitoring for adequacy of nutrition, assessment of growth and development, and counseling of parents2010 HCPCS G0322 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services for home dialysis patients per full month; for patients twelve to nineteen years of age to include monitoring for adequacy of nutrition, assessment of growth and development, and counseling of parents2010 HCPCS G0323 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services for home dialysis patients per full month; for patients twenty years of age and older2010 HCPCS G0324 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services less than full month, per day; for patients under two years of age2010 HCPCS G0325 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services less than full month, per day; for patients between two and eleven years of age2010 HCPCS G0326 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services less than full month, per day; for patients between twelve and nineteen years of age2010 HCPCS G0327 TERMINATED 12/31/2008 : End stage renal disease (esrd) related services less than full month, per day; for patients twenty years of age and over2010 HCPCS G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous2010 HCPCS G0329 Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care2010 HCPCS G0332 TERMINATED 12/31/2008 : Services for intravenous infusion of immunoglobulin prior to administration (this service is to be billed in conjunction with administration of immunoglobulin)2010 HCPCS G0333 Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary2010 HCPCS G0337 Hospice evaluation and counseling services, pre-election2010 HCPCS G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment2010 HCPCS G0340 Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment2010 HCPCS G0341 Percutaneous islet cell transplant, includes portal vein catheterization and infusion2010 HCPCS G0342 Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion2010 HCPCS G0343 Laparotomy for islet cell transplant, includes portal vein catheterization and infusion2010 HCPCS G0344 TERMINATED 12/31/2008 : Initial preventive physical examination; face-to-face visit, services limited to a new beneficiary during the first 12 months of medicare enrollment2010 HCPCS G0364 Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service2010 HCPCS G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)2010 HCPCS G0366 TERMINATED 12/31/2008 : Electrocardiogram, routine ecg with 12 leads; performed as a component of the initial preventive examination with interpretation and report2010 HCPCS G0367 TERMINATED 12/31/2008 : Tracing only, without interpretation and report, performed as a component of the initial preventive examination2010 HCPCS G0368 TERMINATED 12/31/2008 : Interpretation and report only, performed as a component of the initial preventive examination2010 HCPCS G0372 Physician service required to establish and document the need for a power mobility device2010 HCPCS G0375 TERMINATED 12/31/2007 : Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes2010 HCPCS G0376 TERMINATED 12/31/2007 : Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes2010 HCPCS G0377 TERMINATED 12/31/2007 : Administration of vaccine for part d drug2010 HCPCS G0378 Hospital observation service, per hour2010 HCPCS G0379 Direct admission of patient for hospital observation care2010 HCPCS G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr º489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)2010 HCPCS G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr º489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)2010 HCPCS G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr º489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)2010 HCPCS G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr º489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)2010 HCPCS G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr º489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)2010 HCPCS G0389 Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening2010 HCPCS G0390 Trauma response team associated with hospital critical care service2010 HCPCS G0392 TERMINATED 12/31/2009 : Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; arterial2010 HCPCS G0393 TERMINATED 12/31/2009 : Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; venous2010 HCPCS G0394 TERMINATED 12/31/2008 : Blood occult test (e.g., guaiac), feces, for single determination for colorectal neoplasm (i.e., patient was provided three cards or single triple card for consecutive collection)2010 HCPCS G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes2010 HCPCS G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes2010 HCPCS G0398 Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation2010 HCPCS G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation2010 HCPCS G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels2010 HCPCS G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment2010 HCPCS G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report2010 HCPCS G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination2010 HCPCS G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination2010 HCPCS G0406 Follow-up inpatient telehealth consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth2010 HCPCS G0407 Follow-up inpatient telehealth consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth2010 HCPCS G0408 Follow-up inpatient telehealth consultation, complex, physicians typically spend 35 minutes or more communicating with the patient via telehealth2010 HCPCS G0409 Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)2010 HCPCS G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization setting, approximately 45 to 50 minutes2010 HCPCS G0411 Interactive group psychotherapy, in a partial hospitalization setting, approximately 45 to 50 minutes2010 HCPCS G0412 Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed2010 HCPCS G0413 Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)2010 HCPCS G0414 Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)2010 HCPCS G0415 Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)2010 HCPCS G0416 Surgical pathology, gross and microscopic examination for prostate needle saturation biopsy sampling, 1-20 specimens2010 HCPCS G0417 Surgical pathology, gross and microscopic examination for prostate needle saturation biopsy sampling, 21-40 specimens2010 HCPCS G0418 Surgical pathology, gross and microscopic examination for prostate needle saturation biopsy sampling, 41-60 specimens2010 HCPCS G0419 Surgical pathology, gross and microscopic examination for prostate needle saturation biopsy sampling, greater than 60 specimens2010 HCPCS G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour2010 HCPCS G0421 Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour2010 HCPCS G0422 Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session2010 HCPCS G0423 Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session2010 HCPCS G0424 Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day2010 HCPCS G0425 Initial inpatient telehealth consultation, typically 30 minutes communicating with the patient via telehealth2010 HCPCS G0426 Initial inpatient telehealth consultation, typically 50 minutes communicating with the patient via telehealth2010 HCPCS G0427 Initial inpatient telehealth consultation, typically 70 minutes or more communicating with the patient via telehealth2010 HCPCS G0430 Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure2010 HCPCS G0431 Drug screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay), each drug class2010 HCPCS G3001 Administration and supply of tositumomab, 450 mg2010 HCPCS G8006 Acute myocardial infarction: patient documented to have received aspirin at arrival2010 HCPCS G8007 Acute myocardial infarction: patient not documented to have received aspirin at arrival2010 HCPCS G8008 Clinician documented that acute myocardial infarction patient was not an eligible candidate to receive aspirin at arrival measure2010 HCPCS G8009 Acute myocardial infarction: patient documented to have received beta-blocker at arrival2010 HCPCS G8010 Acute myocardial infarction: patient not documented to have received beta-blocker at arrival2010 HCPCS G8011 Clinician documented that acute myocardial infarction patient was not an eligible candidate for beta-blocker at arrival measure2010 HCPCS G8012 Pneumonia: patient documented to have received antibiotic within 4 hours of presentation2010 HCPCS G8013 Pneumonia: patient not documented to have received antibiotic within 4 hours of presentation2010 HCPCS G8014 Clinician documented that pneumonia patient was not an eligible candidate for antibiotic within 4 hours of presentation measure2010 HCPCS G8015 Diabetic patient with most recent hemoglobin a1c level (within the last 6 months) documented as greater than 9%2010 HCPCS G8016 Diabetic patient with most recent hemoglobin a1c level (within the last 6 months) documented as less than or equal to 9%2010 HCPCS G8017 Clinician documented that diabetic patient was not eligible candidate for hemoglobin a1c measure2010 HCPCS G8018 Clinician has not provided care for the diabetic patient for the required time for hemoglobin a1c measure (6 months)2010 HCPCS G8019 Diabetic patient with most recent low-density lipoprotein (within the last 12 months) documented as greater than or equal to 100 mg/dl2010 HCPCS G8020 Diabetic patient with most recent low-density lipoprotein (within the last 12 months) documented as less than 100 mg/dl2010 HCPCS G8021 Clinician documented that diabetic patient was not eligible candidate for low-density lipoprotein measure2010 HCPCS G8022 Clinician has not provided care for the diabetic patient for the required time for low-density lipoprotein measure (12 months)2010 HCPCS G8023 Diabetic patient with most recent blood pressure (within the last 6 months) documented as equal to or greater than 140 systolic or equal to or greater than 80 mmhg diastolic2010 HCPCS G8024 Diabetic patient with most recent blood pressure (within the last 6 months) documented as less than 140 systolic and less than 80 diastolic2010 HCPCS G8025 Clinician documented that the diabetic patient was not eligible candidate for blood pressure measure2010 HCPCS G8026 Clinician has not provided care for the diabetic patient for the required time for blood pressure measure (within the last 6 months)2010 HCPCS G8027 Heart failure patient with left ventricular systolic dysfunction (lvsd) documented to be on either angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker (ace-i or arb) therapy2010 HCPCS G8028 Heart failure patient with left ventricular systolic dysfunction (lvsd) not documented to be on either angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker (ace-i or arb) therapy2010 HCPCS G8029 Clinician documented that heart failure patient was not an eligible candidate for either angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker (ace-i or arb) therapy measure2010 HCPCS G8030 Heart failure patient with left ventricular systolic dysfunction (lvsd) documented to be on beta-blocker therapy2010 HCPCS G8031 Heart failure patient with left ventricular systolic dysfunction (lvsd) not documented to be on beta-blocker therapy2010 HCPCS G8032 Clinician documented that heart failure patient was not eligible candidate for beta-blocker therapy measure2010 HCPCS G8033 Prior myocardial infarction - coronary artery disease patient documented to be on beta-blocker therapy2010 HCPCS G8034 Prior myocardial infarction - coronary artery disease patient not documented to be on beta-blocker therapy2010 HCPCS G8035 Clinician documented that prior myocardial infarction - coronary artery disease patient was not eligible candidate for beta-blocker therapy measure2010 HCPCS G8036 Coronary artery disease patient documented to be on antiplatelet therapy2010 HCPCS G8037 Coronary artery disease patient not documented to be on antiplatelet therapy2010 HCPCS G8038 Clinician documented that coronary artery disease patient was not eligible candidate for antiplatelet therapy measure2010 HCPCS G8039 Coronary artery disease - patient with low-density lipoprotein documented to be greater than 100mg/dl2010 HCPCS G8040 Coronary artery disease - patient with low-density lipoprotein documented to be less than or equal to 100mg/dl2010 HCPCS G8041 Clinician documented that coronary artery disease patient was not eligible candidate for low-density lipoprotein measure2010 HCPCS G8051 Patient (female) documented to have been assessed for osteoporosis2010 HCPCS G8052 Patient (female) not documented to have been assessed for osteoporosis2010 HCPCS G8053 Clinician documented that (female) patient was not an eligible candidate for osteoporosis assessment measure2010 HCPCS G8054 Patient not documented for the assessment for falls within last 12 months2010 HCPCS G8055 Patient documented for the assessment for falls within last 12 months2010 HCPCS G8056 Clinician documented that patient was not an eligible candidate for the falls assessment measure within the last 12 months2010 HCPCS G8057 Patient documented to have received hearing assessment2010 HCPCS G8058 Patient not documented to have received hearing assessment2010 HCPCS G8059 Clinician documented that patient was not an eligible candidate for hearing assessment measure2010 HCPCS G8060 Patient documented for the assessment of urinary incontinence2010 HCPCS G8061 Patient not documented for the assessment of urinary incontinence2010 HCPCS G8062 Clinician documented that patient was not an eligible candidate for urinary incontinence assessment measure2010 HCPCS G8075 End stage renal disease patient with documented dialysis dose of urr greater than or equal to 65% (or kt/v greater than or equal to 1.2)2010 HCPCS G8076 End stage renal disease patient with documented dialysis dose of urr less than 65% (or kt/v less than 1.2)2010 HCPCS G8077 Clinician documented that end stage renal disease patient was not an eligible candidate for urr or kt/v measure2010 HCPCS G8078 End stage renal disease patient with documented hematocrit greater than or equal to 33 (or hemoglobin greater than or equal to 11)2010 HCPCS G8079 End stage renal disease patient with documented hematocrit less than 33 (or hemoglobin less than 11)2010 HCPCS G8080 Clinician documented that end stage renal disease patient was not an eligible candidate for hematocrit (hemoglobin) measure2010 HCPCS G8081 End stage renal disease patient requiring hemodialysis vascular access documented to have received autogenous av fistula2010 HCPCS G8082 End stage renal disease patient requiring hemodialysis documented to have received vascular access other than autogenous av fistula2010 HCPCS G8085 End-stage renal disease patient requiring hemodialysis vascular access was not an eligible candidate for autogenous av fistula2010 HCPCS G8093 Newly diagnosed chronic obstructive pulmonary disease (copd) patient documented to have received smoking cessation intervention, within 3 months of diagnosis2010 HCPCS G8094 Newly diagnosed chronic obstructive pulmonary disease (copd) patient not documented to have received smoking cessation intervention, within 3 months of diagnosis2010 HCPCS G8099 Osteoporosis patient documented to have been prescribed calcium and vitamin d supplements2010 HCPCS G8100 Clinician documented that osteoporosis patient was not an eligible candidate for calcium and vitamin d supplement measure2010 HCPCS G8103 Newly diagnosed osteoporosis patients documented to have been treated with antiresorptive therapy and/or pth within 3 months of diagnosis2010 HCPCS G8104 Clinician documented that newly diagnosed osteoporosis patient was not an eligible candidate for antiresorptive therapy and/or pth treatment measure within 3 months of diagnosis2010 HCPCS G8106 Within 6 months of suffering a nontraumatic fracture, female patient 65 years of age or older documented to have undergone bone mineral density testing or to have been prescribed a drug to treat or prevent osteoporosis2010 HCPCS G8107 Clinician documented that female patient 65 years of age or older who suffered a nontraumatic fracture within the last 6 months was not an eligible candidate for measure to test bone mineral density or drug to treat or prevent osteoporosis2010 HCPCS G8108 Patient documented to have received influenza vaccination during influenza season2010 HCPCS G8109 Patient not documented to have received influenza vaccination during influenza season2010 HCPCS G8110 Clinician documented that patient was not an eligible candidate for influenza vaccination measure2010 HCPCS G8111 Patient (female) documented to have received a mammogram during the measurement year or prior year to the measurement year2010 HCPCS G8112 Patient (female) not documented to have received a mammogram during the measurement year or prior year to the measurement year2010 HCPCS G8113 Clinician documented that female patient was not an eligible candidate for mammography measure2010 HCPCS G8114 Clinician did not provide care to patient for the required time of mammography measure (i.e., measurement year or prior year)2010 HCPCS G8115 Patient documented to have received pneumococcal vaccination2010 HCPCS G8116 Patient not documented to have received pneumococcal vaccination2010 HCPCS G8117 Clinician documented that patient was not an eligible candidate for pneumococcal vaccination measure2010 HCPCS G8126 Patient documented as being treated with antidepressant medication during the entire 12 week acute treatment phase2010 HCPCS G8127 Patient not documented as being treated with antidepressant medication during the entire 12 weeks acute treatment phase2010 HCPCS G8128 Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure2010 HCPCS G8129 Patient documented as being treated with antidepressant medication for at least 6 months continuous treatment phase2010 HCPCS G8130 Patient not documented as being treated with antidepressant medication for at least 6 months continuous treatment phase2010 HCPCS G8131 Clinician documented that patient was not an eligible candidate for antidepressant medication for continuous treatment phase2010 HCPCS G8152 Patient documented to have received antibiotic prophylaxis one hour prior to incision time (two hours for vancomycin)2010 HCPCS G8153 Patient not documented to have received antibiotic prophylaxis one hour prior to incision time (two hours for vancomycin)2010 HCPCS G8154 Clinician documented that patient was not an eligible candidate for antibiotic prophylaxis one hour prior to incision time (two hours for vancomycin) measure2010 HCPCS G8155 Patient with documented receipt of thromboembolism prophylaxis2010 HCPCS G8156 Patient without documented receipt of thromboembolism prophylaxis2010 HCPCS G8157 Clinician documented that patient was not an eligible candidate for thromboembolism prophylaxis measure2010 HCPCS G8158 TERMINATED 6/30/2007 : Patient documented to have received coronary artery bypass graft with use of internal mammary artery2010 HCPCS G8159 Patient documented to have received coronary artery bypass graft without use of internal mammary artery2010 HCPCS G8160 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for coronary artery bypass graft with use of internal mammary artery measure2010 HCPCS G8161 TERMINATED 6/30/2007 : Patient with isolated coronary artery bypass graft documented to have received pre-operative beta-blockade2010 HCPCS G8162 Patient with isolated coronary artery bypass graft not documented to have received pre-operative beta-blockade2010 HCPCS G8163 TERMINATED 6/30/2007 : Clinician documented that patient with isolated coronary artery bypass graft was not an eligible candidate for pre-operative beta-blockade measure2010 HCPCS G8164 Patient with isolated coronary artery bypass graft documented to have prolonged intubation2010 HCPCS G8165 Patient with isolated coronary artery bypass graft not documented to have prolonged intubation2010 HCPCS G8166 Patient with isolated coronary artery bypass graft documented to have required surgical re-exploration2010 HCPCS G8167 Patient with isolated coronary artery bypass graft did not require surgical re-exploration2010 HCPCS G8170 Patient with isolated coronary artery bypass graft documented to have been discharged on aspirin or clopidogrel2010 HCPCS G8171 Patient with isolated coronary artery bypass graft not documented to have been discharged on aspirin or clopidogrel2010 HCPCS G8172 Clinician documented that patient with isolated coronary artery bypass graft was not an eligible candidate for antiplatelet therapy at discharge measure2010 HCPCS G8182 Clinician has not provided care for the cardiac patient for the required time for low-density lipoprotein measure (6 months)2010 HCPCS G8183 Patient with heart failure and atrial fibrillation documented to be on warfarin therapy2010 HCPCS G8184 Clinician documented that patient with heart failure and atrial fibrillation was not an eligible candidate for warfarin therapy measure2010 HCPCS G8185 Patients diagnosed with symptomatic osteoarthritis with documented annual assessment of function and pain2010 HCPCS G8186 Clinician documented that symptomatic osteoarthritis patient was not an eligible candidate for annual assessment of function and pain measure2010 HCPCS G8191 TERMINATED 6/30/2007 : Clinician documented to have given order for prophylactic antibiotic to be given within one hour (if vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)2010 HCPCS G8192 TERMINATED 6/30/2007 : Clinician documented to have given the prophylactic antibiotic within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required)2010 HCPCS G8193 Clinician did not document that an order for prophylactic antibiotic to be given within one hour (if vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required) was given2010 HCPCS G8194 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for prophylactic antibiotic2010 HCPCS G8195 TERMINATED 6/30/2007 : Clinician documented to have given the prophylactic antibiotic within one hour (if vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required)2010 HCPCS G8196 Clinician did not document a prophylactic antibiotic was administered within one hour (if vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)2010 HCPCS G8197 TERMINATED 6/30/2007 : Patient documented to have order for prophylactic antibiotic to be given within one hour (if vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)2010 HCPCS G8198 TERMINATED 6/30/2007 : Patient documented to have order for cefazolin or cefuroxime for antimicrobial prophylaxis2010 HCPCS G8199 TERMINATED 6/30/2007 : Clinician documented to have given cefazolin or cefuroxime for antimicrobial prophylaxis2010 HCPCS G8200 Order for cefazolin or cefuroxime for antimicrobial prophylaxis not documented2010 HCPCS G8201 TERMINATED 6/30/2007 : Patient was not an eligible candidate for cefazolin or cefuroxime for antimicrobial prophylaxis2010 HCPCS G8202 TERMINATED 6/30/2007 : Clinician documented an order was given to discontinue prophylactic antibiotics within 24 hours of surgical end time2010 HCPCS G8203 TERMINATED 6/30/2007 : Clinician documented that prophylactic antibiotics were discontinued within 24 hours of surgical end time2010 HCPCS G8204 Clinician did not document an order was given to discontinue prophylactic antibiotics within 24 hours of surgical end time2010 HCPCS G8205 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for prophylactic antibiotic discontinuation within 24 hours of surgical end time2010 HCPCS G8206 TERMINATED 6/30/2007 : Clinician documented that prophylactic antibiotic was given2010 HCPCS G8207 TERMINATED 6/30/2007 : Clinician documented an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time2010 HCPCS G8208 TERMINATED 6/30/2007 : Clinician documented that prophylactic antibiotics were discontinued within 48 hours of surgical end time2010 HCPCS G8209 Clinician did not document an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time2010 HCPCS G8210 TERMINATED 6/30/2007 : Clinician documented patient was not an eligible candidate for discontinuation of prophylactic antibiotic discontinuation within 48 hours of surgical end time2010 HCPCS G8211 TERMINATED 6/30/2007 : Clinician documented that prophylactic antibiotic was given2010 HCPCS G8212 TERMINATED 6/30/2007 : Clinician documented an order was given for appropriate venous thromboembolism (vte) prophylaxis to be given within 24 hrs prior to incision time or 24 hours after surgery end time2010 HCPCS G8213 TERMINATED 6/30/2007 : Clinician documented to have given vte prophylaxis within 24 hrs prior to incision time or 24 hours after surgery end time2010 HCPCS G8214 Clinician did not document an order was given for appropriate venous thromboembolism (vte) prophylaxis to be given within 24 hrs prior to incision time or 24 hours after surgery end time2010 HCPCS G8215 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for venous thromboembolism (vte) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time2010 HCPCS G8216 TERMINATED 6/30/2007 : Patient documented to have received dvt prophylaxis by end of hospital day two2010 HCPCS G8217 Patient not documented to have received dvt prophylaxis by end of hospital day 22010 HCPCS G8218 TERMINATED 6/30/2007 : Patient was not an eligible candidate for dvt prophylaxis by end of hospital day 2, including physician documentation that patient is ambulatory2010 HCPCS G8219 Patient documented to have received dvt prophylaxis by end of hospital day 22010 HCPCS G8220 Patient not documented to have received dvt prophylaxis by end of hospital day 22010 HCPCS G8221 Clinician documented that patient was not an eligible candidate for dvt prophylaxis by the end of hospital day 2, including physician documentation that patient is ambulatory2010 HCPCS G8222 TERMINATED 6/30/2007 : Patient documented to have been prescribed antiplatelet therapy at discharge2010 HCPCS G8223 Patient not documented to have received prescription for antiplatelet therapy at discharge2010 HCPCS G8224 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for antiplatelet therapy at discharge, including identification from medical record that patient is on anticoagulation therapy2010 HCPCS G8225 TERMINATED 6/30/2007 : Patient documented to have been prescribed an anticoagulant at discharge2010 HCPCS G8226 Patient not documented to have received prescription for anticoagulant therapy at discharge2010 HCPCS G8227 TERMINATED 6/30/2007 : Patient not documented to have permanent, persistent, or paroxysmal atrial fibrillation2010 HCPCS G8228 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for anticoagulant therapy at discharge2010 HCPCS G8229 TERMINATED 6/30/2007 : Patient documented to have been administered or considered for t-pa2010 HCPCS G8230 TERMINATED 6/30/2007 : Patient not eligible for t-pa administration, ischemic stroke symptom onset of more than 3 hours2010 HCPCS G8231 Patient not documented to have received t-pa or not documented to have been considered a candidate for t-pa administration2010 HCPCS G8232 TERMINATED 6/30/2007 : Patient documented to have received dysphagia screening prior to taking any foods, fluids or medication by mouth2010 HCPCS G8234 Patient not documented to have received dysphagia screening2010 HCPCS G8235 TERMINATED 6/30/2007 : Patient not receiving or ineligible to receive food, fluids or medication by mouth, or documentation of npo (nothing by mouth) order2010 HCPCS G8236 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for dysphagia screening prior to taking any foods, fluids or medication by mouth2010 HCPCS G8237 TERMINATED 6/30/2007 : Patient documented to have received order for rehabilitation services or documentation of consideration for rehabilitation services2010 HCPCS G8238 Patient not documented to have received order for or consideration for rehabilitation services2010 HCPCS G8239 TERMINATED 6/30/2007 : Internal carotid stenosis patient below 30%, reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement not necessary2010 HCPCS G8240 Internal carotid stenosis patient in the 30-99% range, and no documentation of reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement2010 HCPCS G8241 TERMINATED 6/30/2007 : Clinician documented that patient whose final report of the carotid imaging study performed (neck mra, neck cta, neck duplex ultrasound, carotid angiogram), with characterization of an internal carotid stenosis in the 30-99% range, was not an eligible candidate for reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement2010 HCPCS G8242 TERMINATED 6/30/2007 : Patient documented to have received ct or mri with presence or absence of hemorrhage, mass lesion and acute infarction documented in the final report2010 HCPCS G8243 Patient not documented to have received ct or mri and the presence or absence of hemorrhage, mass lesion and acute infarction not documented in the final report2010 HCPCS G8245 TERMINATED 6/30/2007 : Clinician documented presence or absence alarm symptoms2010 HCPCS G8246 Patient was not an eligible candidate for medical history review with assessment of new or changing moles2010 HCPCS G8247 TERMINATED 6/30/2007 : Patient with alarm symptom(s) documented to have had upper endoscopy performed or referral for upper endoscopy2010 HCPCS G8248 Patient with at least one alarm symptom not documented to have had upper endoscopy or referral for upper endoscopy2010 HCPCS G8249 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for upper endoscopy2010 HCPCS G8250 TERMINATED 6/30/2007 : Patient with suspicion of barrett's esophagus in endoscopy report and documented to have received an esophageal biopsy2010 HCPCS G8251 Patient not documented to have received an esophageal biopsy when suspicion of barrett's esophagus is indicated in the endoscopy report2010 HCPCS G8252 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for esophageal biopsy2010 HCPCS G8253 TERMINATED 6/30/2007 : Patient documented to have received an order for a barium swallow test2010 HCPCS G8254 Patient with no documentation order for barium swallow test2010 HCPCS G8255 TERMINATED 6/30/2007 : Clinician documentation that patient was an eligible candidate for barium swallow test2010 HCPCS G8256 TERMINATED 6/30/2007 : Clinician documented reconciliation of discharge medications with current medication list in medical record2010 HCPCS G8257 Clinician has not documented reconciliation of discharge medications with current medication list in medical record2010 HCPCS G8258 TERMINATED 6/30/2007 : Patient was not an eligible candidate for discharge medications review2010 HCPCS G8259 TERMINATED 6/30/2007 : Patient documented to have surrogate decision maker or advance care plan in medical record2010 HCPCS G8260 Patient not documented to have surrogate decision maker or advance care plan in medical record2010 HCPCS G8261 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for surrogate decision maker or advance care plan2010 HCPCS G8262 TERMINATED 6/30/2007 : Patient documented to have been assessed for presence or absence of urinary incontinence2010 HCPCS G8263 Patient not documented to have been assessed for presence or absence of urinary incontinence2010 HCPCS G8264 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for an assessment of the presence or absence of urinary incontinence2010 HCPCS G8265 TERMINATED 6/30/2007 : Patient documented to have received characterization of urinary incontinence2010 HCPCS G8266 Patient not documented to have received characterization of urinary incontinence2010 HCPCS G8267 TERMINATED 6/30/2007 : Patient documented to have received a plan of care for urinary incontinence2010 HCPCS G8268 Patient not documented to have received plan of care for urinary incontinence2010 HCPCS G8269 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time to develop plan of care for urinary incontinence2010 HCPCS G8270 TERMINATED 6/30/2007 : Patient documented to have received screening for fall risk (2 or more falls in the past year or any fall with injury in the past year)2010 HCPCS G8271 Patient with no documentation of screening for fall risks (2 or more falls in the past year or any fall with injury in the past year)2010 HCPCS G8272 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for fall risk screening2010 HCPCS G8273 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time to screen for fall risk2010 HCPCS G8274 Clinician has not documented presence or absence of alarm symptoms2010 HCPCS G8275 TERMINATED 6/30/2007 : Patient documented to have medical history taken which included assessment of new or changing moles2010 HCPCS G8276 Patient not documented to have received medical history with assessment of new or changing moles2010 HCPCS G8277 TERMINATED 6/30/2007 : Patient was not an eligible candidate for medical history review with assessment of new or changing moles2010 HCPCS G8278 TERMINATED 6/30/2007 : Patient documented to have received complete physical skin exam2010 HCPCS G8279 Patient not documented to have received a complete physical skin exam2010 HCPCS G8280 TERMINATED 6/30/2007 : Patient was not an eligible candidate for complete physical skin exam during the reporting year2010 HCPCS G8281 TERMINATED 6/30/2007 : Patient documented to have received counseling to perform a self-examination2010 HCPCS G8282 Patient not documented to have received counseling to perform a self-examination2010 HCPCS G8283 TERMINATED 6/30/2007 : Patient was not an eligible candidate for counseling to perform self-examination2010 HCPCS G8284 TERMINATED 6/30/2007 : Patient documented to have received a prescription for pharmacologic therapy for osteoporosis2010 HCPCS G8285 Patient not documented to have received pharmacologic therapy2010 HCPCS G8286 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for pharmacologic therapy2010 HCPCS G8287 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time for the pharmacologic therapy measure2010 HCPCS G8288 TERMINATED 6/30/2007 : Patient documented to have received calcium and vitamin d or counseling on both calcium and vitamin d use, and exercise2010 HCPCS G8289 Patient with no documentation of calcium and vitamin d use or counseling regarding both calcium and vitamin d use, or exercise2010 HCPCS G8290 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for calcium and vitamin d, and exercise during the reporting year2010 HCPCS G8291 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time for the calcium, vitamin d, and exercise measure2010 HCPCS G8292 TERMINATED 6/30/2007 : Copd patient with spirometry results documented2010 HCPCS G8293 Copd patient without spirometry results documented2010 HCPCS G8294 TERMINATED 6/30/2007 : Copd patient was not eligible for spirometry results2010 HCPCS G8295 TERMINATED 6/30/2007 : Copd patient documented to have received inhaled bronchodilator therapy2010 HCPCS G8296 Copd patient not documented to have inhaled bronchodilator therapy prescribed2010 HCPCS G8297 TERMINATED 6/30/2007 : Copd patient was not eligible for inhaled bronchodilator therapy2010 HCPCS G8298 Patient documented to have received optic nerve head evaluation2010 HCPCS G8299 Patient not documented to have received optic nerve head evaluation2010 HCPCS G8300 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for optic nerve head evaluation during the reporting year2010 HCPCS G8301 TERMINATED 6/30/2007 : Clinician has not provided care for the primary open-angle glaucoma patient for the required time for optic nerve head evaluation measure2010 HCPCS G8302 Patient documented to have a specific target intraocular pressure range goal2010 HCPCS G8303 Patient not documented to have a specific target intraocular pressure range goal2010 HCPCS G8304 Clinician documented that patient was not an eligible candidate for a specific target intraocular pressure range goal2010 HCPCS G8305 Clinician has not provided care for the primary open-angle glaucoma patient for the required time for treatment range goal documentation measurement2010 HCPCS G8306 Primary open-angle glaucoma patient with intraocular pressure above the target range goal documented to have received plan of care2010 HCPCS G8307 Primary open-angle glaucoma patient with intraocular pressure at or below goal, no plan of care necessary2010 HCPCS G8308 Primary open-angle glaucoma patient with intraocular pressure above the target range goal, and not documented to have received plan of care during the reporting year2010 HCPCS G8309 TERMINATED 6/30/2007 : Patient documented to have been prescribed/recommended antioxidant vitamin or mineral supplement2010 HCPCS G8310 Patient not documented to have been prescribed/recommended at least one antioxidant vitamin or mineral supplement during the reporting year2010 HCPCS G8311 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for antioxidant vitamin or mineral supplement during the reporting year2010 HCPCS G8312 TERMINATED 6/30/2007 : Clinician has not provided care for the age-related macular degeneration patient for the required time for antioxidant supplement prescription/recommended measure2010 HCPCS G8313 TERMINATED 6/30/2007 : Patient documented to have received macular exam, including documentation of the presence or absence of macular thickening or hemorrhage and the level of macular degeneration severity2010 HCPCS G8314 Patient not documented to have received macular exam with documentation of presence or absence of macular thickening or hemorrhage and no documentation of level of macular degeneration severity2010 HCPCS G8315 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for macular examination during the reporting year2010 HCPCS G8316 TERMINATED 6/30/2007 : Clinician has not provided care for the age-related macular degeneration patient for the required time for macular examination measurement2010 HCPCS G8317 TERMINATED 6/30/2007 : Patient documented to have visual functional status assessed2010 HCPCS G8318 Patient documented not to have visual functional status assessed2010 HCPCS G8319 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for assessment of visual functional status2010 HCPCS G8320 TERMINATED 6/30/2007 : Clinician has not provided care for the cataract patient for the required time for assessment of visual functional status measurement2010 HCPCS G8321 TERMINATED 6/30/2007 : Patient documented to have had pre-surgical axial length, corneal power measurement and method of intraocular lens power calculation2010 HCPCS G8322 Patient not documented to have had pre-surgical axial length, corneal power measurement and method of intraocular lens power calculation2010 HCPCS G8323 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for pre-surgical axial length, corneal power measurement and method of intraocular lens power calculation2010 HCPCS G8324 TERMINATED 6/30/2007 : Clinician has not provided care for the cataract patient for the required time for pre-surgical measurement and intraocular lens power calculation measure2010 HCPCS G8325 TERMINATED 6/30/2007 : Patient documented to have received fundus evaluation within six months prior to cataract surgery2010 HCPCS G8326 Patient not documented to have received fundus evaluation within six months prior to cataract surgery2010 HCPCS G8327 TERMINATED 6/30/2007 : Patient was not an eligible candidate for pre-surgical fundus evaluation2010 HCPCS G8328 TERMINATED 6/30/2007 : Clinician has not provided care for the cataract patient for the required time for fundus evaluation measurement2010 HCPCS G8329 TERMINATED 6/30/2007 : Patient documented to have received dilated macular or fundus exam with level of severity of retinopathy and the presence or absence of macular edema documented2010 HCPCS G8330 Patient not documented to have received dilated macular or fundus exam with level of severity of retinopathy and the presence or absence of macular edema not documented2010 HCPCS G8331 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for dilated macular or fundus exam during the reporting year2010 HCPCS G8332 TERMINATED 6/30/2007 : Clinician has not provided care for the diabetic retinopathy patient for the required time for macular edema and retinopathy measurement2010 HCPCS G8333 TERMINATED 6/30/2007 : Patient documented to have had findings of macular or fundus exam communicated to the physician managing the diabetes care2010 HCPCS G8334 Documentation of findings of macular or fundus exam not communicated to the physician managing the patient's ongoing diabetes care2010 HCPCS G8335 TERMINATED 6/30/2007 : Clinician documentation that patient was not an eligible candidate for the findings of their macular or fundus exam being communicated to the physician managing their diabetes care during the reporting year2010 HCPCS G8336 TERMINATED 6/30/2007 : Clinician has not provided care for the diabetic retinopathy patient for the required time for physician communication measurement2010 HCPCS G8337 TERMINATED 6/30/2007 : Clinician documented that communication was sent to the physician managing ongoing care of patient that a fracture occurred and that the patient was or should be tested or treated for osteoporosis2010 HCPCS G8338 Clinician has not documented that communication was sent to the physician managing ongoing care of patient that a fracture occurred and that the patient was or should be tested or treated for osteoporosis2010 HCPCS G8339 TERMINATED 6/30/2007 : Patient was not an eligible candidate for communication with the physician managing the patient's ongoing care that a fracture occurred and that the patient was or should be tested or treated for osteoporosis2010 HCPCS G8340 TERMINATED 6/30/2007 : Patient documented to have had central dexa performed and results documented or central dexa ordered or pharmacologic therapy prescribed2010 HCPCS G8341 Patient not documented to have had central dexa measurement or pharmacologic therapy2010 HCPCS G8342 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for central dexa measurement or prescribing pharmacologic2010 HCPCS G8343 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time for central dexa measurement or pharmacological therapy measure2010 HCPCS G8344 TERMINATED 6/30/2007 : Patient documented to have had central dexa ordered or performed and results documented or pharmacological therapy prescribed2010 HCPCS G8345 Patient not documented to have had central dexa measurement ordered or performed or pharmacologic therapy2010 HCPCS G8346 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for central dexa measurement or pharmacologic therapy2010 HCPCS G8347 TERMINATED 6/30/2007 : Clinician has not provided care for the patient for the required time for central dexa measurement or pharmacological therapy measure2010 HCPCS G8348 TERMINATED 6/30/2007 : Internal carotid stenosis patient in the 30-99% range documented to have reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement2010 HCPCS G8349 TERMINATED 6/30/2007 : Patient was not an eligible candidate for documentation of presence or absence of alarm symptoms2010 HCPCS G8350 TERMINATED 6/30/2007 : Patient documented to have had 12-lead ecg performed2010 HCPCS G8351 Patient not documented to have had ecg2010 HCPCS G8352 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for ecg2010 HCPCS G8353 TERMINATED 6/30/2007 : Patient documented to have received or taken aspirin 24 hours before emergency department arrival or during emergency department stay2010 HCPCS G8354 Patient not documented to have received or taken aspirin 24 hours before emergency department arrival or during emergency department stay2010 HCPCS G8355 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate to receive aspirin2010 HCPCS G8356 TERMINATED 6/30/2007 : Patient documented to have had ecg performed2010 HCPCS G8357 Patient not documented to have had ecg2010 HCPCS G8358 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for ecg2010 HCPCS G8359 TERMINATED 6/30/2007 : Patient documented to have had vital signs recorded and reviewed2010 HCPCS G8360 Patient not documented to have vital signs recorded and reviewed2010 HCPCS G8361 TERMINATED 6/30/2007 : Patient documented to have oxygen saturation assessed2010 HCPCS G8362 Patient not documented to have oxygen saturation assessed2010 HCPCS G8363 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for oxygen saturation assessment2010 HCPCS G8364 TERMINATED 6/30/2007 : Patient documented to have mental status assessed2010 HCPCS G8365 Patient not documented to have mental status assessed2010 HCPCS G8366 TERMINATED 6/30/2007 : Patient documented to have appropriate empiric antibiotic prescribed2010 HCPCS G8367 Patient not documented to have appropriate empiric antibiotic prescribed2010 HCPCS G8368 TERMINATED 6/30/2007 : Clinician documented that patient was not an eligible candidate for appropriate empiric antibiotic2010 HCPCS G8370 Asthma patients with numeric frequency of symptoms or patient completion of an asthma assessment tool/survey/questionnaire not documented2010 HCPCS G8371 Chemotherapy documented as not received or prescribed for stage iii colon cancer patients2010 HCPCS G8372 Chemotherapy documented as received or prescribed for stage iii colon cancer patients2010 HCPCS G8373 Chemotherapy plan documented prior to chemotherapy administration2010 HCPCS G8374 Chemotherapy plan not documented prior to chemotherapy administration2010 HCPCS G8375 Chronic lymphocytic leukemia (cll) patient with no documentation of baseline flow cytometry performed2010 HCPCS G8376 Clinician documentation that breast cancer patient was not eligible for tamoxifen or aromatase inhibitor therapy measure2010 HCPCS G8377 Clinician documentation that colon cancer patient is not eligible for chemotherapy measure2010 HCPCS G8378 Clinician documentation that patient was not an eligible candidate for radiation therapy measure2010 HCPCS G8379 Documentation of radiation therapy recommended within 12 months of first office visit2010 HCPCS G8380 For patients with er or pr positive, stage ic-iii breast cancer, clinician did not document that the patient received or was prescribed tamoxifen or aromatase inhibitor2010 HCPCS G8381 For patients with er or pr positive, stage ic-iii breast cancer, clinician documented or prescribed that the patient is receiving tamoxifen or aromatase inhibitor2010 HCPCS G8382 Multiple myeloma patients with no documentation of prescribed or received intravenous bisphosphonate therapy2010 HCPCS G8383 No documentation of radiation therapy recommended within 12 months of first office visit2010 HCPCS G8384 Baseline cytogenetic testing not performed in patients with myelodysplastic syndrome (mds) or acute leukemias2010 HCPCS G8385 Diabetic patients with no documentation of hemoglobin a1c level (within the last 12 months)2010 HCPCS G8386 Diabetic patients with no documentation of low-density lipoprotein (within the last 12 months)2010 HCPCS G8387 End-stage renal disease patient with a hematocrit or hemoglobin not documented2010 HCPCS G8388 End-stage renal disease patient with urr or kt/v value not documented, but otherwise eligible for measure2010 HCPCS G8389 Myelodysplastic syndrome (mds) patients with no documentation of iron stores prior to receiving erythropoietin therapy2010 HCPCS G8390 Diabetic patients with no documentation of blood pressure measurement (within the last 12 months)2010 HCPCS G8391 Patients with persistent asthma, no documentation of preferred long term control medication or acceptable alternative treatment prescribed2010 HCPCS G8395 Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function2010 HCPCS G8396 Left ventricular ejection fraction (lvef) not performed or documented2010 HCPCS G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy2010 HCPCS G8398 Dilated macular or fundus exam not performed2010 HCPCS G8399 Patient with central dual-energy x-ray absorptiometry (dxa) results documented or ordered or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed)2010 HCPCS G8400 Patient with central dual-energy x-ray absorptiometry (dxa) results not documented or not ordered or pharmacologic therapy (other than minerals/vitamins) for osteoporosis not prescribed2010 HCPCS G8401 Clinician documented that patient was not an eligible candidate for screening or therapy for osteoporosis for women measure2010 HCPCS G8402 Tobacco (smoke) use cessation intervention, counseling2010 HCPCS G8403 Tobacco (smoke) use cessation intervention not counseled2010 HCPCS G8404 Lower extremity neurological exam performed and documented2010 HCPCS G8405 Lower extremity neurological exam not performed2010 HCPCS G8406 Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure2010 HCPCS G8407 Abi measured and documented2010 HCPCS G8408 Abi measurement was not obtained2010 HCPCS G8409 Clinician documented that patient was not an eligible candidate for abi measurement measure2010 HCPCS G8410 Footwear evaluation performed and documented2010 HCPCS G8415 Footwear evaluation was not performed2010 HCPCS G8416 Clinician documented that patient was not an eligible candidate for footwear evaluation measure2010 HCPCS G8417 Calculated bmi above the upper parameter and a follow-up plan was documented in the medical record2010 HCPCS G8418 Calculated bmi below the lower parameter and a follow-up plan was documented in the medical record2010 HCPCS G8419 Calculated bmi outside normal parameters, no follow-up plan was documented in the medical record2010 HCPCS G8420 Calculated bmi within normal parameters and documented2010 HCPCS G8421 Bmi not calculated2010 HCPCS G8422 Patient not eligible for bmi calculation2010 HCPCS G8423 Documented that patient was screened and either influenza vaccination status is current or patient was counseled2010 HCPCS G8424 Influenza vaccine status was not screened2010 HCPCS G8425 Influenza vaccine status screened, patient not current and counseling was not provided2010 HCPCS G8426 Documented that patient was not appropriate for screening and/or counseling about the influenza vaccine (e.g., allergy to eggs)2010 HCPCS G8427 List of current medications with dosages (includes prescription, over-the-counter, herbals, vitamin/mineral/dietary [nutritional] supplements) and verification with the patient or authorized representative documented by the provider2010 HCPCS G8428 Provider documentation of current medications with dosages (includes prescription, over-the-counter, herbals, vitamin/mineral/dietary [nutritional] supplements) without documented patient verification2010 HCPCS G8429 Incomplete or no provider documentation that patient's current medications with dosages (includes prescription, over-the-counter, herbals, vitamin/mineral/dietary [nutritional] supplements) were assessed2010 HCPCS G8430 Provider documentation that patient is not eligible for medication assessment2010 HCPCS G8431 Positive screen for clinical depression using a standardized tool and a follow-up plan documented2010 HCPCS G8432 No documentation of clinical depression screening using a standardized tool2010 HCPCS G8433 Screening for clinical depression using a standardized tool not documented, patient not eligible/appropriate2010 HCPCS G8434 Documentation of cognitive impairment screening using a standardized tool2010 HCPCS G8435 No documentation of cognitive impairment screening using a standardized tool2010 HCPCS G8436 Patient not eligible/not appropriate for cognitive impairment screening2010 HCPCS G8437 Documentation of clinician and patient involvement with the development of a plan of care including signature by the practitioner/therapist and either a co-signature by the patient or documented verbal agreement obtained from the patient or, when necessary, an authorized representative2010 HCPCS G8438 No documentation of clinician and patient involvement with the development of a plan of care including signature by the practitioner/therapist and either a co-signature by the patient or documented verbal agreement obtained from the patient or, when necessary, an authorized representative2010 HCPCS G8439 Documentation that patient is not eligible for co-developing a plan of care including signature by the practitioner/therapist and either a co-signature by the patient or documented verbal agreement obtained from the patient or, when necessary, an authorized representative2010 HCPCS G8440 Documentation of pain assessment (including location, intensity and description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool and a follow-up plan is documented2010 HCPCS G8441 No documentation of pain assessment (including location, intensity and description) prior to initiation of treatment2010 HCPCS G8442 Documentation that patient is not eligible for pain assessment2010 HCPCS G8443 All prescriptions created during the encounter were generated using a qualified e-prescribing system2010 HCPCS G8445 No prescriptions were generated during the encounter, provider does have access to a qualified e-prescribing system2010 HCPCS G8446 Provider does have access to a qualified e-prescribing system and some or all of the prescriptions generated during the encounter were printed or phoned in as required by state or federal law or regulations, patient request or pharmacy system being unable to receive electronic transmission; or because they were for narcotics or other controlled substances2010 HCPCS G8447 Patient encounter was documented using a cchit certified ehr2010 HCPCS G8448 Patient encounter was documented using a qualified (non-cchit certified) ehr2010 HCPCS G8449 Patient encounter was not documented using an emr due to system reasons such as, the system being inoperable at the time of the visit; use of this code implies that an emr is in place and generally available2010 HCPCS G8450 Beta-blocker therapy prescribed for patients with left ventricular ejection fraction (lvef) <40% or documentation as moderately or severely depressed left ventricular systolic function2010 HCPCS G8451 Clinician documented patient with left ventricular ejection fraction (lvef) <40% or documentation as moderately or severely depressed left ventricular systolic function was not eligible candidate for beta-blocker therapy2010 HCPCS G8452 Beta-blocker therapy not prescribed for patients with left ventricular ejection fraction (lvef) <40% or documentation as moderately or severely depressed left ventricular systolic function2010 HCPCS G8453 Tobacco use cessation intervention, counseling2010 HCPCS G8454 Tobacco use cessation intervention not counseled, reason not specified2010 HCPCS G8455 Current tobacco smoker2010 HCPCS G8456 Current smokeless tobacco user2010 HCPCS G8457 Current tobacco non-user2010 HCPCS G8458 Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c2010 HCPCS G8459 Clinician documented that patient is receiving antiviral treatment for hepatitis c2010 HCPCS G8460 Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c2010 HCPCS G8461 Patient receiving antiviral treatment for hepatitis c2010 HCPCS G8462 Clinician documented that patient is not an eligible candidate for counseling regarding contraception prior to antiviral treatment; patient not receiving antiviral treatment for hepatitis c2010 HCPCS G8463 Patient receiving antiviral treatment for hepatitis c documented2010 HCPCS G8464 Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined2010 HCPCS G8465 High risk of recurrence of prostate cancer2010 HCPCS G8466 Clinician documented that patient is not an eligible candidate for suicide risk assessment; major depressive disorder, in remission2010 HCPCS G8467 Documentation of new diagnosis of initial or recurrent episode of major depressive disorder2010 HCPCS G8468 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed for patients with a left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function2010 HCPCS G8469 Clinician documented that patient with a left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy2010 HCPCS G8470 Patient with left ventricular ejection fraction (lvef) >=40% or documentation as normal or mildly depressed left ventricular systolic function2010 HCPCS G8471 Left ventricular ejection fraction (lvef) was not performed or documented2010 HCPCS G8472 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for patients with a left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function, reason not specified2010 HCPCS G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed2010 HCPCS G8474 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician2010 HCPCS G8475 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not specified2010 HCPCS G8476 Most recent blood pressure has a systolic measurement of <130 mm/hg and a diastolic measurement of <80 mm/hg2010 HCPCS G8477 Most recent blood pressure has a systolic measurement of >=130 mm/hg and/or a diastolic measurement of >=80 mm/hg2010 HCPCS G8478 Blood pressure measurement not performed or documented, reason not specified2010 HCPCS G8479 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy2010 HCPCS G8480 Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy2010 HCPCS G8481 Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not specified2010 HCPCS G8482 Influenza immunization was ordered or administered2010 HCPCS G8483 Influenza immunization was not ordered or administered for reasons documented by clinician2010 HCPCS G8484 Influenza immunization was not ordered or administered, reason not specified2010 HCPCS G8485 I intend to report the diabetes mellitus measures group2010 HCPCS G8486 I intend to report the preventive care measures group2010 HCPCS G8487 I intend to report the chronic kidney disease (ckd) measures group2010 HCPCS G8488 Clinician intends to report the end stage renal disease (esrd) measure group2010 HCPCS G8489 I intend to report the coronary artery disease (cad) measures group2010 HCPCS G8490 I intend to report the rheumatoid arthritis measures group2010 HCPCS G8491 I intend to report the hiv/aids measures group2010 HCPCS G8492 I intend to report the perioperative care measures group2010 HCPCS G8493 I intend to report the back pain measures group2010 HCPCS G8494 All quality actions for the applicable measures in the diabetes mellitus measures group have been performed for this patient2010 HCPCS G8495 All quality actions for the applicable measures in the ckd measures group have been performed for this patient2010 HCPCS G8496 All quality actions for the applicable measures in the preventive care measures group have been performed for this patient2010 HCPCS G8497 All quality actions for the applicable measures in the coronary artery bypass graft (cabg) measures group have been performed for this patient2010 HCPCS G8498 All quality actions for the applicable measures in the coronary artery disease (cad) measures group have been performed for this patient2010 HCPCS G8499 All quality actions for the applicable measures in the rheumatoid arthritis measures group have been performed for this patient2010 HCPCS G8500 All quality actions for the applicable measures in the hiv/aids measures group have been performed for this patient2010 HCPCS G8501 All quality actions for the applicable measures in the perioperative care measures group have been performed for this patient2010 HCPCS G8502 All quality actions for the applicable measures in the back pain measures group have been performed for this patient2010 HCPCS G8503 TERMINATED 12/31/2009 : Documentation that prophylactic antibiotic was given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)2010 HCPCS G8504 TERMINATED 12/31/2009 : Documentation of order for prophylactic antibiotics to be given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required)2010 HCPCS G8505 TERMINATED 12/31/2009 : Documentation that prophylactic antibiotic was not given within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start of procedure when no incision is required), reason not specified2010 HCPCS G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy2010 HCPCS G8507 Provider documentation that patient is not eligible for patient verification of current medications2010 HCPCS G8508 Documentation of pain assessment (including location, intensity and description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool; no documentation of a follow-up plan, patient not eligible2010 HCPCS G8509 Documentation of pain assessment (including location, intensity and description) prior to initiation of treatment or documentation of the absence of pain as a result of assessment through discussion with the patient including the use of a standardized tool; no documentation of a follow-up plan, reason not specified2010 HCPCS G8510 Negative screen for clinical depression using a standardized tool, patient not eligible/appropriate for follow-up plan documented2010 HCPCS G8511 Screen for clinical depression using a standardized tool documented, follow up plan not documented, reason not specified2010 HCPCS G8512 TERMINATED 12/31/2009 : Pain severity quantified; pain present2010 HCPCS G8513 TERMINATED 12/31/2009 : Abi measured and documented2010 HCPCS G8514 TERMINATED 12/31/2009 : Clinician documented that patient was not an eligible candidate for abi measurement measure2010 HCPCS G8515 TERMINATED 12/31/2009 : Abi measurement was not obtained2010 HCPCS G8516 TERMINATED 12/31/2009 : Patient screened for future falls risk; documentation of two or more falls in the past year or any fall with injury in the past year2010 HCPCS G8517 TERMINATED 12/31/2009 : Patient screened for future fall risk; documentation of no falls in the past year or only one fall without injury in the past year2010 HCPCS G8518 Clinical stage prior to surgery for lung cancer and esophageal cancer resection was recorded2010 HCPCS G8519 Clinician documented that patient was not eligible for clinical stage prior to surgery for lung cancer and esophageal cancer resection measure2010 HCPCS G8520 Clinician stage prior to surgery for lung cancer and esophageal cancer resection was not recorded, reason not specified2010 HCPCS G8521 TERMINATED 12/31/2009 : Antiplatelet therapy received (asa [81-325 mg/day] and/or clopidogrel [75 mg/day]) within 48 hours of the initiation of surgery and at discharge2010 HCPCS G8522 TERMINATED 12/31/2009 : Clinician documented that patient was not an eligible candidate for antiplatelet therapy2010 HCPCS G8523 TERMINATED 12/31/2009 : Antiplatelet therapy not received 48 hours prior to cea and at discharge, reason not specified2010 HCPCS G8524 Patch closure used for patient undergoing conventional cea2010 HCPCS G8525 Clinician documented that patient did not receive conventional cea2010 HCPCS G8526 Patch closure not used for patient undergoing conventional cea, reason not specified2010 HCPCS G8527 TERMINATED 12/31/2009 : Documentation of order for cefazolin or cefuroxime for antimicrobial prophylaxis2010 HCPCS G8528 TERMINATED 12/31/2009 : Clinician documented that patient was ineligible for prophylactic antibiotic selection measure2010 HCPCS G8529 TERMINATED 12/31/2009 : Order for cefazolin or cefuroxime for antimicrobial prophylaxis not documented, reason not specified2010 HCPCS G8530 Autogenous av fistula received2010 HCPCS G8531 Clinician documented that patient was not an eligible candidate for autogenous av fistula2010 HCPCS G8532 Clinician documented that patient recevied vascular access other than autogenous av fistula, reason not specified2010 HCPCS G8533 TERMINATED 12/31/2009 : Participation by a physician or other clinician in systematic clinical database registry that includes consensus-endorsed quality measures2010 HCPCS G8534 Documentation of an elder maltreatment screen and follow-up plan2010 HCPCS G8535 No documentation of an elder maltreatment screen, patient not eligible2010 HCPCS G8536 No documentation of an elder maltreatment screen, reason not specified2010 HCPCS G8537 Elder maltreatment screen documented, follow-up plan not documented, patient not eligible2010 HCPCS G8538 Elder maltreatment screen documented, follow-up plan not documented, reason not specified2010 HCPCS G8539 Documentation of a current functional outcome assessment using a standardized tool and care plan based on identified deficiencies2010 HCPCS G8540 Documentation that the patient is not eligible for a functional outcome assessment using a standardized tool2010 HCPCS G8541 No documentation of a current functional outcome assessment using a standardized tool, reason not specified2010 HCPCS G8542 Documentation of a current functional outcome assessment using a standardized tool; no documentation of a care plan, patient not eligible2010 HCPCS G8543 Documentation of a current functional outcome assessment using a standardized tool; no documentation of a care plan, reason not specified2010 HCPCS G8544 I intend to report the coronary artery bypass graft (cabg) measures group2010 HCPCS G8545 I intend to report the hepatitis c measures group2010 HCPCS G8546 I intend to report the community-acquired pneumonia (cap) measures group2010 HCPCS G8547 I intend to report the ischemic vascular disease (ivd) measures group2010 HCPCS G8548 I intend to report the heart failure (hf) measures group2010 HCPCS G8549 All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient2010 HCPCS G8550 All quality actions for the applicable measures in the community-acquired pneumonia (cap) measures group have been performed for this patient2010 HCPCS G8551 All quality actions for the applicable measures in the heart failure (hf) measures group have been performed for this patient2010 HCPCS G8552 All quality actions for the applicable measures in the ischemic vascular disease (ivd) measures group have been performed for this patient2010 HCPCS G8553 At least one prescription created during the encounter was generated and transmitted electronically using a qualified erx system2010 HCPCS G8556 Referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation2010 HCPCS G8557 Patient is not eligible for the referral for otologic evaluation measure2010 HCPCS G8558 Not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified2010 HCPCS G8559 Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation2010 HCPCS G8560 Patient has a history of active drainage from the ear within the previous 90 days2010 HCPCS G8561 Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure2010 HCPCS G8562 Patient does not have a history of active drainage from the ear within the previous 90 days2010 HCPCS G8563 Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified2010 HCPCS G8564 Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)2010 HCPCS G8565 Verification and documentation of sudden or rapidly progressive hearing loss2010 HCPCS G8566 Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure2010 HCPCS G8567 Patient does not have verification and documentation of sudden or rapidly progressive hearing loss2010 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 specified)2010 HCPCS G8569 Prolonged intubation (>24 hrs) required2010 HCPCS G8570 Prolonged intubation (>24 hrs) not required2010 HCPCS G8571 Development of deep sternal wound infection within 30 days postoperatively2010 HCPCS G8572 No deep sternal wound infection2010 HCPCS G8573 Stroke/cba following isolated cabg surgery2010 HCPCS G8574 No stroke/cva following isolated cabg surgery2010 HCPCS G8575 Developed postoperative renal insufficiency or required dialysis2010 HCPCS G8576 No postoperative renal insufficiency/dialysis not required2010 HCPCS G8577 Reoperation required due to bleeding/tamponade, graft occlusion or other cardiac reason2010 HCPCS G8578 Reoperation not required due to bleeding/tamponade, graft occlusion or other cardiac reason2010 HCPCS G8579 Antiplatelet medication at discharge2010 HCPCS G8580 Antiplatelet medication contraindicated/not indicated2010 HCPCS G8581 No antiplatelet medication at discharge2010 HCPCS G8582 Beta-blocker at discharge2010 HCPCS G8583 Beta-blocker contraindicated/not indicated2010 HCPCS G8584 No beta-blocker at discharge2010 HCPCS G8585 Anti-lipid treatment at discharge2010 HCPCS G8586 Anti-lipid treatment contraindicated/not indicated2010 HCPCS G8587 No anti-lipid treatment at discharge2010 HCPCS G8588 Most recent systolic blood pressure < 140 mmhg2010 HCPCS G8589 Most recent systolic blood pressure >= 140 mmhg2010 HCPCS G8590 Most recent diastolic blood pressure < 90 mmhg2010 HCPCS G8591 Most recent diastolic blood pressure >= 90 mmhg2010 HCPCS G8592 No documentation of blood pressure measurement2010 HCPCS G8593 Lipid profile results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)2010 HCPCS G8594 Lipid profile not performed, reason not otherwise specified2010 HCPCS G8595 Most recent ldl-c < 100 mg/dl2010 HCPCS G8596 Ldl-c was not performed2010 HCPCS G8597 Most recent ldl-c >= 100 mg/dl2010 HCPCS G8598 Aspirin or another antithrombotic therapy used2010 HCPCS G8599 Aspirin or another antithrombotic therapy not used, reason not otherwise specified2010 HCPCS G8600 Iv t-pa initiated within three hours (<= 180 minutes) of time last known well2010 HCPCS G8601 Iv t-pa not initiated within three hours (<= 180 minutes) of time last known well for reasons documented by clinician2010 HCPCS G8602 Iv t-pa not initiated within three hours (<= 180 minutes) of time last known well, reason not specified2010 HCPCS G8603 Score on the spoken language comprehension functional communication measure at discharge was higher than at admission2010 HCPCS G8604 Score on the spoken language comprehension functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8605 Patient was not scored on the spoken language comprehension functional communication measure either at admission or at discharge2010 HCPCS G8606 Score on the attention functional communication measure at discharge was higher than at admission2010 HCPCS G8607 Score on the attention functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8608 Patient was not scored on the attention functional communication measure either at admission or at discharge2010 HCPCS G8609 Score on the memory functional communication measure at discharge was higher than at admission2010 HCPCS G8610 Score on the memory functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8611 Patient was not scored on the memory functional communication measure at either admission or at discharge2010 HCPCS G8612 Score on the motor speech functional communication measure at discharge was higher than at admission2010 HCPCS G8613 Score on the motor speech functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8614 Patient was not scored on the motor speech functional communication measure either at admission or at discharge2010 HCPCS G8615 Score on the reading functional communication measure at discharge was higher than at admission2010 HCPCS G8616 Score on the reading functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8617 Patient was not scored on the reading functional communication measure either at admission or at discharge2010 HCPCS G8618 Score on the spoken language expression functional communication measure at discharge was higher than at admission2010 HCPCS G8619 Score on the spoken language expression functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8620 Patient was not scored on the spoken language expression functional communication measure either at admission or at discharge2010 HCPCS G8621 Score on the writing functional communication measure at discharge was higher than at admission2010 HCPCS G8622 Score on the writing functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8623 Patient was not scored on the writing functional communication measure either at admission or at discharge2010 HCPCS G8624 Score on the swallowing functional communication measure at discharge was higher than at admission2010 HCPCS G8625 Score on the swallowing functional communication measure at discharge was not higher than at admission, reason not specified2010 HCPCS G8626 Patient was not scored on the swallowing functional communication measure at admission or at discharge2010 HCPCS G8627 Surgical procedure performed within 30 days following cataract surgery for major complications (e.g. retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)2010 HCPCS G8628 Surgical procedure not performed within 30 days following cataract surgery for major complications (e.g. retained nuclear fragments, endophthalmitis, dislocated or wrong power iol, retinal detachment, or wound dehiscence)2010 HCPCS G9001 Coordinated care fee, initial rate2010 HCPCS G9002 Coordinated care fee, maintenance rate2010 HCPCS G9003 Coordinated care fee, risk adjusted high, initial2010 HCPCS G9004 Coordinated care fee, risk adjusted low, initial2010 HCPCS G9005 Coordinated care fee, risk adjusted maintenance2010 HCPCS G9006 Coordinated care fee, home monitoring2010 HCPCS G9007 Coordinated care fee, scheduled team conference2010 HCPCS G9008 Coordinated care fee, physician coordinated care oversight services2010 HCPCS G9009 Coordinated care fee, risk adjusted maintenance, level 32010 HCPCS G9010 Coordinated care fee, risk adjusted maintenance, level 42010 HCPCS G9011 Coordinated care fee, risk adjusted maintenance, level 52010 HCPCS G9012 Other specified case management service not elsewhere classified2010 HCPCS G9013 Esrd demo basic bundle level i2010 HCPCS G9014 Esrd demo expanded bundle including venous access and related services2010 HCPCS G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]2010 HCPCS G9017 Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9018 Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9019 Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9020 Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9033 Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9034 Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9035 Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9036 Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)2010 HCPCS G9041 Rehabilitation services for low vision by qualified occupational therapist, direct one-on-one contact, each 15 minutes2010 HCPCS G9042 Rehabilitation services for low vision by certified orientation and mobility specialists, direct one-on-one contact, each 15 minutes2010 HCPCS G9043 Rehabilitation services for low vision by certified low vision rehabilitation therapist, direct one-on-one contact, each 15 minutes2010 HCPCS G9044 Rehabilitation services for low vision by certified low vision rehabilitation teacher, direct one-on-one contact, each 15 minutes2010 HCPCS G9050 Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)2010 HCPCS G9051 Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project)2010 HCPCS G9052 Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)2010 HCPCS G9053 Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)2010 HCPCS G9054 Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project)2010 HCPCS G9055 Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)2010 HCPCS G9056 Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)2010 HCPCS G9057 Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project)2010 HCPCS G9058 Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)2010 HCPCS G9059 Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a medicare-approved demonstration project)2010 HCPCS G9060 Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project)2010 HCPCS G9061 Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project)2010 HCPCS G9062 Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9063 Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage i (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9064 Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage ii (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9065 Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage iii a (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9066 Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9067 Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9068 Oncology; disease status; limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9069 Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small cell; extensive stage at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9070 Oncology; disease status; small cell lung cancer, limited to small cell and combined small cell/non-small; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9071 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or stage iia-iib; or t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9072 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i, or stage iia-iib; or t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9073 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and/or pr positive; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9074 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3, n1, m0; and er and pr negative; with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9075 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9076 TERMINATED 12/31/2006 : Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, under evaluation, pre-surgical or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9077 Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9078 Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9079 Oncology; disease status; prostate cancer, limited to adenocarcinoma as predominant cell type; t3b-t4, any n; any t, n1 at diagnosis with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9080 Oncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising psa or failure of psa decline (for use in a medicare-approved demonstration project)2010 HCPCS G9081 TERMINATED 12/31/2006 : Oncology; disease status; prostate cancer, limited to adenocarcinoma; non-castrate, incompletely castrate; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)2010 HCPCS G9082 TERMINATED 12/31/2006 : Oncology; disease status; prostate cancer, limited to adenocarcinoma; castrate; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)2010 HCPCS G9083 Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9084 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9085 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, n0, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9086 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-4, n1-2, m0 with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9087 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)2010 HCPCS G9088 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (for use in a medicare-approved demonstration project)2010 HCPCS G9089 Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9090 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-2, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9091 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9092 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t1-3, n1-2, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9093 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9094 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9095 Oncology; disease status; rectal cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9096 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t1-t3, n0-n1 or nx (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9097 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9098 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9099 Oncology; disease status; esophageal cancer, limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9100 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence, progression, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9101 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; post r1 or r2 resection (with or without neoadjuvant therapy) with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9102 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m0, unresectable with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9103 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; clinical or pathologic m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9104 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9105 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post r0 resection without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9106 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1 or r2 resection with no evidence of disease progression, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9107 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9108 Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9109 Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t1-t2 and n0, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9110 Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t3-4 and/or n1-3, m0 (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9111 Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; m1 at diagnosis, metastatic, locally recurrent, or progressive (for use in a medicare-approved demonstration project)2010 HCPCS G9112 Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9113 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9114 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9115 Oncology; disease status; ovarian cancer, limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression, recurrence, or metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9116 Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a medicare-approved demonstration project)2010 HCPCS G9117 Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9118 TERMINATED 12/31/2006 : Oncology; disease status; non-hodgkin's lymphoma, limited to follicular lymphoma, mantle cell lymphoma, diffuse large b-cell lymphoma, small lymphocytic lymphoma; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9119 TERMINATED 12/31/2006 : Oncology; disease status; non-hodgkin's lymphoma, limited to follicular lymphoma, mantle cell lymphoma, diffuse large b-cell lymphoma, small lymphocytic lymphoma; stage iii, iv not relapsed, not refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9120 TERMINATED 12/31/2006 : Oncology; disease status; non-hodgkin's lymphoma; transformed from follicular lymphoma to diffuse large b-cell lymphoma (for use in a medicare-approved demonstration project)2010 HCPCS G9121 TERMINATED 12/31/2006 : Oncology; disease status; non-hodgkin's lymphoma, limited to follicular lymphoma, mantle cell lymphoma, diffuse large b-cell lymphoma, small lymphocytic lymphoma; relapsed/refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9122 TERMINATED 12/31/2006 : Oncology; disease status; non-hodgkin's lymphoma, limited to follicular lymphoma, mantle cell lymphoma, diffuse large b-cell lymphoma, small lymphocytic lymphoma; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9123 Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)2010 HCPCS G9124 Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)2010 HCPCS G9125 Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)2010 HCPCS G9126 Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or molecular remission (for use in a medicare-approved demonstration project)2010 HCPCS G9127 TERMINATED 12/31/2006 : Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, under evaluation, not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9128 Oncology; disease status; limited to multiple myeloma, systemic disease; smoldering, stage i (for use in a medicare-approved demonstration project)2010 HCPCS G9129 Oncology; disease status; limited to multiple myeloma, systemic disease; stage ii or higher (for use in a medicare-approved demonstration project)2010 HCPCS G9130 Oncology; disease status; limited to multiple myeloma, systemic disease; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9131 Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of disease unknown, staging in progress, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9132 Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen therapy or post-orchiectomy); clinical metastases (for use in a medicare-approved demonstration project)2010 HCPCS G9133 Oncology; disease status; prostate cancer, limited to adenocarcinoma; hormone-responsive; clinical metastases or m1 at diagnosis (for use in a medicare-approved demonstration project)2010 HCPCS G9134 Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage i, ii at diagnosis, not relapsed, not refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9135 Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; stage iii, iv, not relapsed, not refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9136 Oncology; disease status; non-hodgkin's lymphoma, transformed from original cellular diagnosis to a second cellular classification (for use in a medicare-approved demonstration project)2010 HCPCS G9137 Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; relapsed/refractory (for use in a medicare-approved demonstration project)2010 HCPCS G9138 Oncology; disease status; non-hodgkin's lymphoma, any cellular classification; diagnostic evaluation, stage not determined, evaluation of possible relapse or non-response to therapy, or not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9139 Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia chromosome positive and/or bcr-abl positive; extent of disease unknown, staging in progress, not listed (for use in a medicare-approved demonstration project)2010 HCPCS G9140 Frontier extended stay clinic demonstration; for a patient stay in a clinic approved for the cms demonstration project; the following measures should be present: the stay must be equal to or greater than 4 hours; weather or other conditions must prevent transfer or the case falls into a category of monitoring and observation cases that are permitted by the rules of the demonstration; there is a maximum frontier extended stay clinic (fesc) visit of 48 hours, except in the case when weather or other conditions prevent transfer; payment is made on each period up to 4 hours, after the first 4 hours2010 HCPCS G9141 Influenza a (h1n1) immunization administration (includes the physician counseling the patient/family)2010 HCPCS G9142 Influenza a (h1n1) vaccine, any route of administration2010 HCPCS G9143 Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)
