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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 17 of 21
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
G9555Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s))—Jan 1, 2016Active
G9556Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended—Jan 1, 2016Active
G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found—Jan 1, 2016Active
G9558Patient treated with a beta-lactam antibiotic as definitive therapy—Jan 1, 2016Ended Dec 31, 2020
G9559Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic (e.g., allergy, intolerance to beta-lactam antibiotics)—Jan 1, 2016Ended Dec 31, 2020
G9560Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given—Jan 1, 2016Ended Dec 31, 2020
G9561Patients prescribed opiates for longer than six weeks—Jan 1, 2016Ended Dec 31, 2021
G9562Patients who had a follow-up evaluation conducted at least every three months during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9563Patients who did not have a follow-up evaluation conducted at least every three months during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9572Index date phq-score greater than 9 documented during the twelve month denominator identification period—Jan 1, 2016Ended Dec 31, 2016
G9573Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five—Jan 1, 2016Ended Dec 31, 2020
G9574Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five; either phq-9 or phq-9m score was not assessed or is greater than or equal to five—Jan 1, 2016Ended Dec 31, 2020
G9577Patients prescribed opiates for longer than six weeks—Jan 1, 2016Ended Dec 31, 2021
G9578Documentation of signed opioid treatment agreement at least once during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9579No documentation of signed an opioid treatment agreement at least once during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9580Door to puncture time of 90 minutes or less—Jan 1, 2016Active
G9581Door to puncture time of greater than 2 hours for reasons documented by clinician (e.g., patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment; hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment)—Jan 1, 2016Ended Dec 31, 2016
G9582Door to puncture time of greater than 90 minutes, no reason given—Jan 1, 2016Active
G9583Patients prescribed opiates for longer than six weeks—Jan 1, 2016Ended Dec 31, 2021
G9584Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9585Patient not evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at least once during opioid therapy—Jan 1, 2016Ended Dec 31, 2021
G9593Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules—Jan 1, 2016Active
G9594Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider—Jan 1, 2016Active
G9595Patient has documentation of ventricular shunt, brain tumor, or coagulopathy—Jan 1, 2016Active
G9596Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma—Jan 1, 2016Ended Dec 31, 2023
G9597Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules—Jan 1, 2016Active
G9598Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct—Jan 1, 2016Active
G9599Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct—Jan 1, 2016Active
G9600Symptomatic aaas that required urgent/emergent (non-elective) repair—Jan 1, 2016Ended Dec 31, 2020
G9601Patient discharge to home no later than post-operative day #7—Jan 1, 2016Ended Dec 31, 2020
G9602Patient not discharged to home by post-operative day #7—Jan 1, 2016Ended Dec 31, 2020
G9603Patient survey score improved from baseline following treatment—Jan 1, 2016Active
G9604Patient survey results not available—Jan 1, 2016Ended Dec 31, 2025
G9605Patient survey score did not improve from baseline following treatment—Jan 1, 2016Active
G9606Intraoperative cystoscopy performed to evaluate for lower tract injury—Jan 1, 2016Active
G9607Documented medical reasons for not performing intraoperative cystoscopy (e.g., urethral pathology precluding cystoscopy, any patient who has a congenital or acquired absence of the urethra) or in the case of patient death—Jan 1, 2016Active
G9608Intraoperative cystoscopy not performed to evaluate for lower tract injury—Jan 1, 2016Active
G9609Documentation of an order for anti-platelet agents—Jan 1, 2016Active
G9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents—Jan 1, 2016Active
G9611Order for anti-platelet agents was not documented in the patient's record, reason not given—Jan 1, 2016Active
G9612Photodocumentation of two or more cecal landmarks to establish a complete examination—Jan 1, 2016Ended Dec 31, 2023
G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)—Jan 1, 2016Ended Dec 31, 2023
G9614Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks or only one cecal landmark) to establish a complete examination—Jan 1, 2016Ended Dec 31, 2023
G9615Preoperative assessment documented—Jan 1, 2016Ended Dec 31, 2020
G9616Documentation of reason(s) for not documenting a preoperative assessment (e.g., patient with a gynecologic or other pelvic malignancy noted at the time of surgery)—Jan 1, 2016Ended Dec 31, 2020
G9617Preoperative assessment not documented, reason not given—Jan 1, 2016Ended Dec 31, 2020
G9618Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind—Jan 1, 2016Ended Dec 31, 2022
G9619Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)—Jan 1, 2016Ended Dec 31, 2016
G9620Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given—Jan 1, 2016Ended Dec 31, 2022
G9621Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling—Jan 1, 2016Active
G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method—Jan 1, 2016Active
G9623Documentation of medical reason(s) for not screening for unhealthy alcohol use (e.g., limited life expectancy, other medical reasons)—Jan 1, 2016Ended Dec 31, 2022
G9624Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user—Jan 1, 2016Active
G9625Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery—Jan 1, 2016Active
G9626Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)—Jan 1, 2016Active
G9627Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery—Jan 1, 2016Active
G9628Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery—Jan 1, 2016Active
G9629Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)—Jan 1, 2016Active
G9630Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery—Jan 1, 2016Active
G9631Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgery—Jan 1, 2016Ended Dec 31, 2022
G9632Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)—Jan 1, 2016Ended Dec 31, 2022
G9633Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery—Jan 1, 2016Ended Dec 31, 2022
G9634Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved—Jan 1, 2016Ended Dec 31, 2021
G9635Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)—Jan 1, 2016Ended Dec 31, 2021
G9636Health-related quality of life not assessed with tool during at least two visits or quality of life score declined—Jan 1, 2016Ended Dec 31, 2021
G9637Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)—Jan 1, 2016Active
G9638Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)—Jan 1, 2016Active
G9639Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure—Jan 1, 2016Ended Dec 31, 2021
G9640Documentation of planned hybrid or staged procedure—Jan 1, 2016Ended Dec 31, 2021
G9641Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure—Jan 1, 2016Ended Dec 31, 2021
G9642Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)—Jan 1, 2016Active
G9643Elective surgery—Jan 1, 2016Active
G9644Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure—Jan 1, 2016Active
G9645Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure—Jan 1, 2016Active
G9646Patients with 90 day mrs score of 0 to 2—Jan 1, 2016Active
G9647Patients in whom mrs score could not be obtained at 90 day follow-up—Jan 1, 2016Ended Dec 31, 2021
G9648Patients with 90 day mrs score greater than 2—Jan 1, 2016Active
G9649Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))—Jan 1, 2016Active
G9650Documentation that the patient declined therapy change or has documented contraindications (e.g., experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga, bsa, pasi, or dlqi—Jan 1, 2016Ended Dec 31, 2016
G9651Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented—Jan 1, 2016Active
G9652Patient has been treated with a systemic or biologic medication for psoriasis for at least six months—Jan 1, 2016Ended Dec 31, 2016
G9653Patient has not been treated with a systemic or biologic medication for psoriasis for at least six months—Jan 1, 2016Ended Dec 31, 2016
G9654Monitored anesthesia care (mac)—Jan 1, 2016Active
G9655A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used—Jan 1, 2016Active
G9656Patient transferred directly from anesthetizing location to pacu or other non-icu location—Jan 1, 2016Active
G9657Transfer of care during an anesthetic or to the intensive care unit—Jan 1, 2016Ended Dec 31, 2016
G9658A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used—Jan 1, 2016Active
G9659Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits—Jan 1, 2016Active
G9660Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of gastrointestinal tract, weight loss, or changes in bowel habits)—Jan 1, 2016Active
G9661Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions—Jan 1, 2016Active
G9662Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure—Jan 1, 2016Active
G9663Any ldl-c laboratory result >= 190 mg/dl—Jan 1, 2016Active
G9664Patients who are currently statin therapy users or received an order (prescription) for statin therapy—Jan 1, 2016Active
G9665Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy—Jan 1, 2016Active
G9666Patient's highest fasting or direct ldl-c laboratory test result in the measurement period or two years prior to the beginning of the measurement period is 70-189 mg/dl—Jan 1, 2016Ended Dec 31, 2021
G9667Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)—Jan 1, 2016Ended Dec 31, 2016
G9669I intend to report the multiple chronic conditions measures group—Jan 1, 2016Ended Dec 31, 2016
G9670All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient—Jan 1, 2016Ended Dec 31, 2016
G9671I intend to report the diabetic retinopathy measures group—Jan 1, 2016Ended Dec 31, 2016
G9672All quality actions for the applicable measures in the diabetic retinopathy measures group have been performed for this patient—Jan 1, 2016Ended Dec 31, 2016