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.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| G9221 | Pneumocystis jiroveci pneumonia prophlaxis prescribed | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9222 | Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3 | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9223 | Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% | — | Jan 1, 2014 | Active |
| G9224 | Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation) | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9225 | Foot exam was not performed, reason not given | — | Jan 1, 2014 | Active |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | — | Jan 1, 2014 | Active |
| G9227 | Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter | — | Jan 1, 2014 | Active |
| G9228 | Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | — | Jan 1, 2014 | Active |
| G9229 | Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception) | — | Jan 1, 2014 | Ended Dec 31, 2023 |
| G9230 | Chlamydia, gonorrhea, and syphilis not screened, reason not given | — | Jan 1, 2014 | Active |
| G9231 | Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period | — | Jan 1, 2014 | Active |
| G9232 | Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason) | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9233 | All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9234 | I intend to report the total knee replacement measures group | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9235 | All quality actions for the applicable measures in the general surgery measures group have been performed for this patient | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9236 | All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9237 | I intend to report the general surgery measures group | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9238 | I intend to report the optimizing patient exposure to ionizing radiation measures group | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9239 | Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons) | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9240 | Patient whose mode of vascular access is a catheter at the time maintenance hemodialysis is initiated | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9241 | Patient whose mode of vascular access is not a catheter at the time maintenance hemodialysis is initiated | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9242 | Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed | — | Jan 1, 2014 | Active |
| G9243 | Documentation of viral load less than 200 copies/ml | — | Jan 1, 2014 | Active |
| G9244 | Antiretroviral thereapy not prescribed | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9245 | Antiretroviral therapy prescribed | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9246 | Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart | — | Jan 1, 2014 | Active |
| G9247 | Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart | — | Jan 1, 2014 | Active |
| G9248 | Patient did not have a medical visit in the last 6 months | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9249 | Patient had a medical visit in the last 6 months | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9250 | Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment | — | Jan 1, 2014 | Ended Dec 31, 2022 |
| G9251 | Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment | — | Jan 1, 2014 | Ended Dec 31, 2022 |
| G9252 | Adenoma(s) or other neoplasm detected during screening colonoscopy | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9253 | Adenoma(s) or other neoplasm not detected during screening colonoscopy | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9254 | Documentation of patient discharged to home later than post-operative day 2 following cea or cas | — | Jan 1, 2014 | Active |
| G9255 | Documentation of patient discharged to home no later than post operative day 2 following cea or cas | — | Jan 1, 2014 | Active |
| G9256 | Documentation of patient death following cas | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9257 | Documentation of patient stroke following cas | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9258 | Documentation of patient stroke following cea | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9259 | Documentation of patient survival and absence of stroke following cas | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9260 | Documentation of patient death following cea | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9261 | Documentation of patient survival and absence of stroke following cea | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9262 | Documentation of patient death in the hospital following endovascular aaa repair | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9263 | Documentation of patient discharged alive following endovascular aaa repair | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9264 | Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons) | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9265 | Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9266 | Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9267 | Documentation of patient with one or more complications or mortality within 30 days | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9268 | Documentation of patient with one or more complications within 90 days | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9269 | Documentation of patient without one or more complications and without mortality within 30 days | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9270 | Documentation of patient without one or more complications within 90 days | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9271 | Ldl value < 100 | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9272 | Ldl value >= 100 | — | Jan 1, 2014 | Ended Dec 31, 2014 |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | — | Jan 1, 2014 | Active |
| G9274 | Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 | — | Jan 1, 2014 | Active |
| G9275 | Documentation that patient is a current non-tobacco user | — | Jan 1, 2014 | Active |
| G9276 | Documentation that patient is a current tobacco user | — | Jan 1, 2014 | Active |
| G9277 | Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux) | — | Jan 1, 2014 | Active |
| G9278 | Documentation that the patient is not on daily aspirin or anti-platelet regimen | — | Jan 1, 2014 | Active |
| G9279 | Pneumococcal screening performed and documentation of vaccination received prior to discharge | — | Jan 1, 2014 | Active |
| G9280 | Pneumococcal vaccination not administered prior to discharge, reason not specified | — | Jan 1, 2014 | Active |
| G9281 | Screening performed and documentation that vaccination not indicated/patient refusal | — | Jan 1, 2014 | Active |
| G9282 | Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons) | — | Jan 1, 2014 | Active |
| G9283 | Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation | — | Jan 1, 2014 | Active |
| G9284 | Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation | — | Jan 1, 2014 | Active |
| G9285 | Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer | — | Jan 1, 2014 | Active |
| G9286 | Antibiotic regimen prescribed within 10 days after onset of symptoms | — | Jan 1, 2014 | Active |
| G9287 | Antibiotic regimen not prescribed within 10 days after onset of symptoms | — | Jan 1, 2014 | Active |
| G9288 | Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons) | — | Jan 1, 2014 | Active |
| G9289 | Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation | — | Jan 1, 2014 | Active |
| G9290 | Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation | — | Jan 1, 2014 | Active |
| G9291 | Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos | — | Jan 1, 2014 | Active |
| G9292 | Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons) | — | Jan 1, 2014 | Active |
| G9293 | Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate | — | Jan 1, 2014 | Active |
| G9294 | Pathology report includes the pt category and a statement on thickness and ulceration and for pt1, mitotic rate | — | Jan 1, 2014 | Active |
| G9295 | Specimen site other than anatomic cutaneous location | — | Jan 1, 2014 | Active |
| G9296 | Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure | — | Jan 1, 2014 | Active |
| G9297 | Shared decision-making including discussion of conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to the procedure, not documented, reason not given | — | Jan 1, 2014 | Active |
| G9298 | Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke) | — | Jan 1, 2014 | Active |
| G9299 | Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given) | — | Jan 1, 2014 | Active |
| G9300 | Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used) | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9301 | Patients who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9302 | Prophylactic antibiotic not completely infused prior to the inflation of the proximal tourniquet, reason not given | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9303 | Operative report does not identify the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant, reason not given | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9304 | Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9305 | Intervention for presence of leak of endoluminal contents through an anastomosis not required | — | Jan 1, 2014 | Active |
| G9306 | Intervention for presence of leak of endoluminal contents through an anastomosis required | — | Jan 1, 2014 | Active |
| G9307 | No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure | — | Jan 1, 2014 | Active |
| G9308 | Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure | — | Jan 1, 2014 | Active |
| G9309 | No unplanned hospital readmission within 30 days of principal procedure | — | Jan 1, 2014 | Active |
| G9310 | Unplanned hospital readmission within 30 days of principal procedure | — | Jan 1, 2014 | Active |
| G9311 | No surgical site infection | — | Jan 1, 2014 | Active |
| G9312 | Surgical site infection | — | Jan 1, 2014 | Active |
| G9313 | Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis for documented reason | — | Jan 1, 2014 | Active |
| G9314 | Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of diagnosis, reason not given | — | Jan 1, 2014 | Active |
| G9315 | Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis | — | Jan 1, 2014 | Active |
| G9316 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family | — | Jan 1, 2014 | Active |
| G9317 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family not completed | — | Jan 1, 2014 | Active |
| G9318 | Imaging study named according to standardized nomenclature | — | Jan 1, 2014 | Active |
| G9319 | Imaging study not named according to standardized nomenclature, reason not given | — | Jan 1, 2014 | Active |
| G9320 | Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |