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G-code: Procedures and professional services (temporary) Procedures and professional services (temporary)

2,011 codes

Billing context

G-codes are temporary codes for professional services and procedures that would otherwise be coded in CPT.
G-codes, page 10 of 21
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
G8711Prescribed antibiotic on or within 3 days after the episode date—Jan 1, 2012Active
G8712Antibiotic not prescribed or dispensed—Jan 1, 2012Active
G8713Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] / volume [v])—Jan 1, 2012Ended Dec 31, 2015
G8714Hemodialysis treatment performed exactly three times per week for > 90 days—Jan 1, 2012Ended Dec 31, 2015
G8717Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given—Jan 1, 2012Ended Dec 31, 2015
G8718Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt] / volume [v])—Jan 1, 2012Ended Dec 31, 2015
G8720Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])—Jan 1, 2012Ended Dec 31, 2015
G8721Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report—Jan 1, 2012Active
G8722Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)—Jan 1, 2012Active
G8723Specimen site is other than anatomic location of primary tumor—Jan 1, 2012Active
G8724Pt category, pn category and histologic grade were not documented in the pathology report, reason not given—Jan 1, 2012Active
G8725Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol)—Jan 1, 2012Ended Dec 31, 2016
G8726Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons)—Jan 1, 2012Ended Dec 31, 2016
G8728Fasting lipid profile not performed, reason not given—Jan 1, 2012Ended Dec 31, 2016
G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented—Jan 1, 2012Ended Dec 31, 2020
G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required—Jan 1, 2012Ended Dec 31, 2020
G8732No documentation of pain assessment, reason not given—Jan 1, 2012Ended Dec 31, 2020
G8733Elder maltreatment screen documented as positive and a follow-up plan is documented—Jan 1, 2012Active
G8734Elder maltreatment screen documented as negative, follow-up is not required—Jan 1, 2012Active
G8735Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given—Jan 1, 2012Active
G8736Most current ldl-c <100mg/dl—Jan 1, 2012Ended Dec 31, 2014
G8737Most current ldl-c >=100mg/dl—Jan 1, 2012Ended Dec 31, 2014
G8738Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function—Jan 1, 2012Ended Dec 31, 2014
G8739Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function—Jan 1, 2012Ended Dec 31, 2014
G8740Left ventricular ejection fraction (lvef) not performed or assessed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8749Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)—Jan 1, 2012Active
G8751Smoking status and exposure to second hand smoke in the home not assessed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8752Most recent systolic blood pressure < 140 mmhg—Jan 1, 2012Active
G8753Most recent systolic blood pressure >= 140 mmhg—Jan 1, 2012Active
G8754Most recent diastolic blood pressure < 90 mmhg—Jan 1, 2012Active
G8755Most recent diastolic blood pressure >= 90 mmhg—Jan 1, 2012Active
G8756No documentation of blood pressure measurement, reason not given—Jan 1, 2012Active
G8757All quality actions for the applicable measures in the chronic obstructive pulmonary disease (copd) measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8758All quality actions for the applicable measures in the inflammatory bowel disease (ibd) measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8759All quality actions for the applicable measures in the sleep apnea measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8761All quality actions for the applicable measures in the dementia measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8762All quality actions for the applicable measures in the parkinson's disease measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8763All quality actions for the applicable measures in the hypertension (htn) measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2014
G8764All quality actions for the applicable measures in the cardiovascular prevention measures group have bee performed for this patient—Jan 1, 2012Ended Dec 31, 2014
G8765All quality actions for the applicable measures in the cataract measures group have been performed for this patient—Jan 1, 2012Ended Dec 31, 2016
G8767Lipid panel results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c)—Jan 1, 2012Ended Dec 31, 2014
G8768Documentation of medical reason(s) for not performing lipid profile (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)—Jan 1, 2012Ended Dec 31, 2014
G8769Lipid profile not performed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8770Urine protein test result documented and reviewed—Jan 1, 2012Ended Dec 31, 2014
G8771Documentation of diagnosis of chronic kidney disease—Jan 1, 2012Ended Dec 31, 2014
G8772Documentation of medical reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not cllinically appropriate)—Jan 1, 2012Ended Dec 31, 2014
G8773Urine protein test was not performed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8774Serum creatinine test result documented and reviewed—Jan 1, 2012Ended Dec 31, 2014
G8775Documentation of medical reason(s) for not performing serum creatinine test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)—Jan 1, 2012Ended Dec 31, 2014
G8776Serum creatinine test not performed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8777Diabetes screening test performed—Jan 1, 2012Ended Dec 31, 2014
G8778Documentation of medical reason(s) for not performing diabetes screening test (e.g., patients with a diagnosis of diabetes, or with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)—Jan 1, 2012Ended Dec 31, 2014
G8779Diabetes screening test not performed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8780Counseling for diet and physical activity performed—Jan 1, 2012Ended Dec 31, 2014
G8781Documentation of medical reason(s) for patient not receiving counseling for diet and physical activity (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)—Jan 1, 2012Ended Dec 31, 2014
G8782Counseling for diet and physical activity not performed, reason not given—Jan 1, 2012Ended Dec 31, 2014
G8783Normal blood pressure reading documented, follow-up not required—Jan 1, 2012Active
G8784Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)—Jan 1, 2012Ended Dec 31, 2016
G8785Blood pressure reading not documented, reason not given—Jan 1, 2012Active
G8797Specimen site other than anatomic location of esophagus—Jan 1, 2012Active
G8798Specimen site other than anatomic location of prostate—Jan 1, 2012Active
G8806Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented—Jan 1, 2012Active
G8807Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])—Jan 1, 2012Active
G8808Trans-abdominal or trans-vaginal ultrasound not performed, reason not given—Jan 1, 2012Active
G8809Rh-immunoglobulin (rhogam) ordered—Jan 1, 2012Ended Dec 31, 2020
G8810Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)—Jan 1, 2012Ended Dec 31, 2020
G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given—Jan 1, 2012Ended Dec 31, 2020
G8815Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)—Jan 1, 2012Active
G8816Statin medication prescribed at discharge—Jan 1, 2012Active
G8817Statin therapy not prescribed at discharge, reason not given—Jan 1, 2012Active
G8818Patient discharge to home no later than post-operative day #7—Jan 1, 2012Ended Dec 31, 2023
G8825Patient not discharged to home by post-operative day #7—Jan 1, 2012Ended Dec 31, 2023
G8826Patient discharged to home no later than post-operative day #2 following evar—Jan 1, 2012Active
G8833Patient not discharged to home by post-operative day #2 following evar—Jan 1, 2012Active
G8834Patient discharged to home no later than post-operative day #2 following cea—Jan 1, 2012Active
G8838Patient not discharged to home by post-operative day #2 following cea—Jan 1, 2012Active
G8839Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness—Jan 1, 2012Active
G8840Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)—Jan 1, 2012Active
G8841Sleep apnea symptoms not assessed, reason not given—Jan 1, 2012Active
G8842Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea—Jan 1, 2012Active
G8843Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)—Jan 1, 2012Active
G8844Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given—Jan 1, 2012Active
G8845Positive airway pressure therapy prescribed—Jan 1, 2012Active
G8846Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)—Jan 1, 2012Active
G8848Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15)—Jan 1, 2012Ended Dec 31, 2016
G8849Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)—Jan 1, 2012Active
G8850Positive airway pressure therapy not prescribed, reason not given—Jan 1, 2012Active
G8851Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)—Jan 1, 2012Active
G8852Positive airway pressure therapy was prescribed—Jan 1, 2012Ended Dec 31, 2023
G8853Positive airway pressure therapy not prescribed—Jan 1, 2012Ended Dec 31, 2016
G8854Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)—Jan 1, 2012Active
G8855Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given—Jan 1, 2012Active
G8856Referral to a physician for an otologic evaluation performed—Jan 1, 2012Active
G8857Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)—Jan 1, 2012Active
G8858Referral to a physician for an otologic evaluation not performed, reason not given—Jan 1, 2012Active
G8859Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days—Jan 1, 2012Ended Dec 31, 2014
G8860Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days—Jan 1, 2012Ended Dec 31, 2014
G8861Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed—Jan 1, 2012Ended Dec 31, 2019
G8862Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days—Jan 1, 2012Ended Dec 31, 2014
G8863Patients not assessed for risk of bone loss, reason not given—Jan 1, 2012Active