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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 12 of 21
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
G8971Warfarin or another oral anticoagulant that is fda approved not prescribed, reason not given—Jan 1, 2013Ended Dec 31, 2017
G8972One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism—Jan 1, 2013Ended Dec 31, 2017
G8973Most recent hemoglobin (hgb) level < 10 g/dl—Jan 1, 2013Ended Dec 31, 2020
G8974Hemoglobin level measurement not documented, reason not given—Jan 1, 2013Ended Dec 31, 2020
G8975Documentation of medical reason(s) for patient having a hemoglobin level < 10 g/dl (e.g., patients who have non-renal etiologies of anemia [e.g., sickle cell anemia or other hemoglobinopathies, hypersplenism, primary bone marrow disease, anemia related to chemotherapy for diagnosis of malignancy, postoperative bleeding, active bloodstream or peritoneal infection], other medical reasons)—Jan 1, 2013Ended Dec 31, 2020
G8976Most recent hemoglobin (hgb) level >= 10 g/dl—Jan 1, 2013Ended Dec 31, 2020
G8977I intend to report the oncology measures group—Jan 1, 2013Ended Dec 31, 2016
G8978Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8979Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8980Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8981Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8982Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8983Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8984Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8985Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8986Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8987Self care functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8988Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8989Self care functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8990Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8991Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8992Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8993Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8994Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8995Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8996Swallowing functional limitation, current status at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G8997Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8998Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting—Jan 1, 2013Ended Dec 31, 2019
G8999Motor speech functional limitation, current status at therapy episode outset and at reporting intervals—Jan 1, 2013Ended Dec 31, 2019
G9001Coordinated care fee, initial rate—Oct 1, 2000Active
G9002Coordinated care fee, maintenance rate—Oct 1, 2000Active
G9003Coordinated care fee, risk adjusted high, initial—Oct 1, 2000Active
G9004Coordinated care fee, risk adjusted low, initial—Oct 1, 2000Active
G9005Coordinated care fee, risk adjusted maintenance—Oct 1, 2000Active
G9006Coordinated care fee, home monitoring—Oct 1, 2000Active
G9007Coordinated care fee, scheduled team conference—Oct 1, 2000Active
G9008Coordinated care fee, physician coordinated care oversight services—Oct 1, 2000Active
G9009Coordinated care fee, risk adjusted maintenance, level 3—Oct 1, 2001Active
G9010Coordinated care fee, risk adjusted maintenance, level 4—Oct 1, 2001Active
G9011Coordinated care fee, risk adjusted maintenance, level 5—Oct 1, 2001Active
G9012Other specified case management service not elsewhere classifiedNOC / NOS—Oct 1, 2001Active
G9013Esrd demo basic bundle level i—Jul 1, 2004Active
G9014Esrd demo expanded bundle including venous access and related services—Jul 1, 2004Active
G9016Smoking 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]—Jan 1, 2001Active
G9017Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9018Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9019Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9020Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9033Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9034Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9035Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9036Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)—Dec 1, 2004Ended Dec 31, 2019
G9037Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified health care professional for the care of the patient (i.e. not for professional education or scheduling) and may include subsequent follow up on the specialist's recommendations; 30 minutes—Jul 1, 2024Ended Jun 30, 2025
G9038Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care—Jul 1, 2024Ended Jun 30, 2025
G9050Oncology; 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)—Jan 1, 2006Active
G9051Oncology; 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)—Jan 1, 2006Active
G9052Oncology; 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)—Jan 1, 2006Active
G9053Oncology; 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)—Jan 1, 2006Active
G9054Oncology; 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)—Jan 1, 2006Active
G9055Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)NOC / NOS—Jan 1, 2006Active
G9056Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)—Jan 1, 2006Active
G9057Oncology; 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)—Jan 1, 2006Active
G9058Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)—Jan 1, 2006Active
G9059Oncology; 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)—Jan 1, 2006Active
G9060Oncology; 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)—Jan 1, 2006Active
G9061Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project)—Jan 1, 2006Active
G9062Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project)—Jan 1, 2006Active
G9063Oncology; 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)—Jan 1, 2006Active
G9064Oncology; 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)—Jan 1, 2006Active
G9065Oncology; 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)—Jan 1, 2006Active
G9066Oncology; 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)—Jan 1, 2006Active
G9067Oncology; 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)—Jan 1, 2006Active
G9068Oncology; 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)—Jan 1, 2006Active
G9069Oncology; 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)—Jan 1, 2006Active
G9070Oncology; 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)—Jan 1, 2006Active
G9071Oncology; 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)—Jan 1, 2006Active
G9072Oncology; 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)—Jan 1, 2006Active
G9073Oncology; 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)—Jan 1, 2006Active
G9074Oncology; 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)—Jan 1, 2006Active
G9075Oncology; 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)—Jan 1, 2006Active
G9077Oncology; 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)—Jan 1, 2006Active
G9078Oncology; 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)—Jan 1, 2006Active
G9079Oncology; 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)—Jan 1, 2006Active
G9080Oncology; 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)—Jan 1, 2006Active
G9083Oncology; 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)—Jan 1, 2006Active
G9084Oncology; 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)—Jan 1, 2006Active
G9085Oncology; 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)—Jan 1, 2006Active
G9086Oncology; 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)—Jan 1, 2006Active
G9087Oncology; 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)—Jan 1, 2006Active
G9088Oncology; 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)—Jan 1, 2006Active
G9089Oncology; 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)—Jan 1, 2006Active
G9090Oncology; 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)—Jan 1, 2006Active
G9091Oncology; 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)—Jan 1, 2006Active
G9092Oncology; 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)—Jan 1, 2006Active
G9093Oncology; 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)—Jan 1, 2006Active
G9094Oncology; 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)—Jan 1, 2006Active
G9095Oncology; 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)—Jan 1, 2006Active
G9096Oncology; 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)—Jan 1, 2006Active
G9097Oncology; 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)—Jan 1, 2006Active
G9098Oncology; 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)—Jan 1, 2006Active