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 |
|---|---|---|---|---|
| G9321 | Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study | — | Jan 1, 2014 | Active |
| G9322 | Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given | — | Jan 1, 2014 | Active |
| G9323 | Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |
| G9324 | All necessary data elements not included, reason not given | — | Jan 1, 2014 | Ended Dec 31, 2016 |
| G9325 | Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |
| G9326 | Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9327 | Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9328 | Dicom format image data availability not documented in final report due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |
| G9329 | Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9340 | Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study | — | Jan 1, 2014 | Ended Dec 31, 2020 |
| G9341 | Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed | — | Jan 1, 2014 | Active |
| G9342 | Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive, reason not given | — | Jan 1, 2014 | Active |
| G9343 | Due to medical reasons, search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |
| G9344 | Due to system reasons search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system) | — | Jan 1, 2014 | Active |
| G9345 | Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors | — | Jan 1, 2014 | Active |
| G9346 | Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules due to medical reasons (e.g., patients with known malignant disease, patients with unexplained fever, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) | — | Jan 1, 2014 | Ended Dec 31, 2015 |
| G9347 | Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules, reason not given | — | Jan 1, 2014 | Active |
| G9348 | Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9349 | Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9350 | Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis | — | Jan 1, 2014 | Ended Dec 31, 2021 |
| G9351 | More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis | — | Jan 1, 2014 | Active |
| G9352 | More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given | — | Jan 1, 2014 | Active |
| G9353 | More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons) | — | Jan 1, 2014 | Active |
| G9354 | One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis | — | Jan 1, 2014 | Active |
| G9355 | Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation) | — | Jan 1, 2014 | Active |
| G9356 | Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation) | — | Jan 1, 2014 | Active |
| G9357 | Post-partum screenings, evaluations and education performed | — | Jan 1, 2014 | Active |
| G9358 | Post-partum screenings, evaluations and education not performed | — | Jan 1, 2014 | Active |
| G9359 | Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier | — | Jan 1, 2014 | Ended Dec 31, 2022 |
| G9360 | No documentation of negative or managed positive tb screen | — | Jan 1, 2014 | Ended Dec 31, 2022 |
| G9361 | Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)] | — | Jan 1, 2014 | Active |
| G9362 | Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia record | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9363 | Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia record | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9364 | Sinusitis caused by, or presumed to be caused by, bacterial infection | — | Jan 1, 2015 | Active |
| G9365 | One high-risk medication ordered | — | Jan 1, 2015 | Ended Dec 31, 2020 |
| G9366 | One high-risk medication not ordered | — | Jan 1, 2015 | Ended Dec 31, 2020 |
| G9367 | At least two orders for high-risk medications from the same drug class | — | Jan 1, 2015 | Active |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | — | Jan 1, 2015 | Active |
| G9369 | Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9370 | Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9376 | Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9377 | Patient did not have the retina attached after 6 months following only one surgery | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9378 | Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9379 | Patient did not achieve flat retinas six months post surgery | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9380 | Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period | — | Jan 1, 2015 | Active |
| G9381 | Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period | — | Jan 1, 2015 | Ended Dec 31, 2017 |
| G9382 | Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period | — | Jan 1, 2015 | Active |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | — | Jan 1, 2015 | Active |
| G9384 | Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons) | — | Jan 1, 2015 | Active |
| G9385 | Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons) | — | Jan 1, 2015 | Active |
| G9386 | Screening for hcv infection not received within the 12 month reporting period, reason not given | — | Jan 1, 2015 | Active |
| G9389 | Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery | — | Jan 1, 2015 | Ended Dec 31, 2020 |
| G9390 | No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery | — | Jan 1, 2015 | Ended Dec 31, 2020 |
| G9391 | Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9392 | Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9393 | Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five | — | Jan 1, 2015 | Active |
| G9394 | Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period | — | Jan 1, 2015 | Active |
| G9395 | Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five | — | Jan 1, 2015 | Active |
| G9396 | Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days) | — | Jan 1, 2015 | Active |
| G9399 | Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward the outcome of the treatment | — | Jan 1, 2015 | Ended Dec 31, 2021 |
| G9400 | Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons | — | Jan 1, 2015 | Ended Dec 31, 2021 |
| G9401 | No documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward treatment | — | Jan 1, 2015 | Ended Dec 31, 2021 |
| G9402 | Patient received follow-up within 30 days after discharge | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9403 | Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up) | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9404 | Patient did not receive follow-up within 30 days after discharge | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9405 | Patient received follow-up within 7 days after discharge | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9406 | Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-compliance for visit follow-up) | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9407 | Patient did not receive follow-up within 7 days after discharge | — | Jan 1, 2015 | Ended Dec 31, 2024 |
| G9408 | Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days | — | Jan 1, 2015 | Active |
| G9409 | Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days | — | Jan 1, 2015 | Active |
| G9410 | Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision | — | Jan 1, 2015 | Active |
| G9411 | Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision | — | Jan 1, 2015 | Active |
| G9412 | Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision | — | Jan 1, 2015 | Active |
| G9413 | Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision | — | Jan 1, 2015 | Active |
| G9414 | Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays | — | Jan 1, 2015 | Active |
| G9415 | Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b), on or between the patient's 10th and 13th birthdays | — | Jan 1, 2015 | Active |
| G9416 | Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays | — | Jan 1, 2015 | Active |
| G9417 | Patient did not have one tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays | — | Jan 1, 2015 | Active |
| G9418 | Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanationNOC / NOS | — | Jan 1, 2015 | Active |
| G9419 | Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain cancer, or other documented medical reasons) | — | Jan 1, 2015 | Active |
| G9420 | Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer | — | Jan 1, 2015 | Active |
| G9421 | Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation | — | Jan 1, 2015 | Active |
| G9422 | Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos) | — | Jan 1, 2015 | Active |
| G9423 | Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)] | — | Jan 1, 2015 | Active |
| G9424 | Specimen site other than anatomic location of lung, or classified as nsclc-nosNOC / NOS | — | Jan 1, 2015 | Active |
| G9425 | Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma) | — | Jan 1, 2015 | Active |
| G9426 | Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients | — | Jan 1, 2015 | Active |
| G9427 | Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients | — | Jan 1, 2015 | Active |
| G9428 | Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | — | Jan 1, 2015 | Active |
| G9429 | Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons) | — | Jan 1, 2015 | Active |
| G9430 | Specimen site other than anatomic cutaneous location | — | Jan 1, 2015 | Active |
| G9431 | Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | — | Jan 1, 2015 | Active |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | — | Jan 1, 2015 | Active |
| G9433 | Death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement period | — | Jan 1, 2015 | Ended Dec 31, 2015 |
| G9434 | Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given | — | Jan 1, 2015 | Active |
| G9435 | Aspirin prescribed at discharge | — | Jan 1, 2015 | Ended Dec 31, 2016 |
| G9436 | Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed) | — | Jan 1, 2015 | Ended Dec 31, 2016 |
| G9437 | Aspirin not prescribed at discharge | — | Jan 1, 2015 | Ended Dec 31, 2016 |
| G9438 | P2y inhibitor prescribed at discharge | — | Jan 1, 2015 | Ended Dec 31, 2016 |
| G9439 | P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed) | — | Jan 1, 2015 | Ended Dec 31, 2016 |