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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 19 of 21
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
G9773At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time, reason not given—Jan 1, 2017Active
G9774Patients who have had a hysterectomy—Jan 1, 2017Ended Dec 31, 2022
G9775Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively—Jan 1, 2017Active
G9776Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g., intolerance or other medical reason)—Jan 1, 2017Active
G9777Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively—Jan 1, 2017Active
G9778Patients who have a diagnosis of pregnancy at any time during the measurement period—Jan 1, 2017Ended Dec 31, 2022
G9779Patients who are breastfeeding at any time during the performance period—Jan 1, 2017Active
G9780Patients who have a diagnosis of rhabdomyolysis at any time during the performance period—Jan 1, 2017Active
G9781Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)—Jan 1, 2017Active
G9782History of or active diagnosis of familial hypercholesterolemia—Jan 1, 2017Active
G9783Documentation of patients with diabetes who have a most recent fasting or direct ldl- c laboratory test result < 70 mg/dl and are not taking statin therapy—Jan 1, 2017Ended Dec 31, 2021
G9784Pathologists/dermatopathologists providing a second opinion on a biopsy—Jan 1, 2017Active
G9785Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist—Jan 1, 2017Active
G9786Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist—Jan 1, 2017Active
G9787Patient alive as of the last day of the measurement year—Jan 1, 2017Active
G9788Most recent bp is less than or equal to 130/80 mm hg—Jan 1, 2017Active
G9789Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits—Jan 1, 2017Active
G9790Most recent bp is greater than 130/80 mm hg, or blood pressure not documented—Jan 1, 2017Active
G9791Most recent tobacco status is tobacco free—Jan 1, 2017Active
G9792Most recent tobacco status is not tobacco free—Jan 1, 2017Active
G9793Patient is currently on a daily aspirin or other antiplatelet—Jan 1, 2017Active
G9794Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed, idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of active anticoagulant use during the measurement period)—Jan 1, 2017Active
G9795Patient is not currently on a daily aspirin or other antiplatelet—Jan 1, 2017Active
G9796Patient is currently on a high intensity statin therapy—Jan 1, 2017Active
G9797Patient is not on a high intensity statin therapy—Jan 1, 2017Active
G9798Discharge(s) for ami between july 1 of the year prior measurement period to june 30 of the measurement period—Jan 1, 2017Ended Dec 31, 2020
G9799Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period—Jan 1, 2017Ended Dec 31, 2020
G9800Patients who are identified as having an intolerance or allergy to beta-blocker therapy—Jan 1, 2017Ended Dec 31, 2020
G9801Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis—Jan 1, 2017Ended Dec 31, 2020
G9802Patients who use hospice services any time during the measurement period—Jan 1, 2017Ended Dec 31, 2020
G9803Patient prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami—Jan 1, 2017Ended Dec 31, 2020
G9804Patient was not prescribed at least a 135 day treatment within the 180-day measurement interval with beta-blockers post-discharge for ami—Jan 1, 2017Ended Dec 31, 2020
G9805Patients who use hospice services any time during the measurement period—Jan 1, 2017Active
G9806Patients who received cervical cytology or an hpv test—Jan 1, 2017Active
G9807Patients who did not receive cervical cytology or an hpv test—Jan 1, 2017Active
G9808Any patients who had no asthma controller medications dispensed during the measurement year—Jan 1, 2017Ended Dec 31, 2022
G9809Patients who use hospice services any time during the measurement period—Jan 1, 2017Ended Dec 31, 2022
G9810Patient achieved a pdc of at least 75% for their asthma controller medication—Jan 1, 2017Ended Dec 31, 2022
G9811Patient did not achieve a pdc of at least 75% for their asthma controller medication—Jan 1, 2017Ended Dec 31, 2022
G9812Patient died including all deaths occurring during the hospitalization in which the operation was performed, even if after 30 days, and those deaths occurring after discharge from the hospital, but within 30 days of the procedure—Jan 1, 2017Active
G9813Patient did not die within 30 days of the procedure or during the index hospitalization—Jan 1, 2017Active
G9814Death occurring during the index acute care hospitalization—Jan 1, 2017Ended Dec 31, 2020
G9815Death did not occur during the index acute care hospitalization—Jan 1, 2017Ended Dec 31, 2020
G9816Death occurring after discharge from the hospital but within 30 days post procedure—Jan 1, 2017Ended Dec 31, 2020
G9817Death did not occur after discharge from the hospital within 30 days post procedure—Jan 1, 2017Ended Dec 31, 2020
G9818Documentation of sexual activity—Jan 1, 2017Active
G9819Patients who use hospice services any time during the measurement period—Jan 1, 2017Active
G9820Documentation of a chlamydia screening test with proper follow-up—Jan 1, 2017Active
G9821No documentation of a chlamydia screening test with proper follow-up—Jan 1, 2017Active
G9822Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)—Jan 1, 2017Active
G9823Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation—Jan 1, 2017Active
G9824Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation—Jan 1, 2017Active
G9825Her-2/neu negative or undocumented/unknown—Jan 1, 2017Ended Dec 31, 2020
G9826Patient transferred to practice after initiation of chemotherapy—Jan 1, 2017Ended Dec 31, 2020
G9827Her2-targeted therapies not administered during the initial course of treatment—Jan 1, 2017Ended Dec 31, 2020
G9828Her2-targeted therapies administered during the initial course of treatment—Jan 1, 2017Ended Dec 31, 2020
G9829Breast adjuvant chemotherapy administered—Jan 1, 2017Ended Dec 31, 2020
G9830Her-2/neu positive—Jan 1, 2017Active
G9831Ajcc stage at breast cancer diagnosis = ii or iii—Jan 1, 2017Active
G9832Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis = t1c—Jan 1, 2017Active
G9833Patient transfer to practice after initiation of chemotherapy—Jan 1, 2017Ended Dec 31, 2020
G9834Patient has metastatic disease at diagnosis—Jan 1, 2017Ended Dec 31, 2020
G9835Trastuzumab administered within 12 months of diagnosis—Jan 1, 2017Ended Dec 31, 2020
G9836Reason for not administering trastuzumab documented (e.g. patient declined, patient died, patient transferred, contraindication or other clinical exclusion, neoadjuvant chemotherapy or radiation not complete)—Jan 1, 2017Ended Dec 31, 2020
G9837Trastuzumab not administered within 12 months of diagnosis—Jan 1, 2017Ended Dec 31, 2020
G9838Patient has metastatic disease at diagnosis—Jan 1, 2017Active
G9839Anti-egfr monoclonal antibody therapy—Jan 1, 2017Active
G9840Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab—Jan 1, 2017Active
G9841Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab—Jan 1, 2017Active
G9842Patient has metastatic disease at diagnosis—Jan 1, 2017Active
G9843Ras (kras or nras) gene mutation—Jan 1, 2017Active
G9844Patient did not receive anti-egfr monoclonal antibody therapy—Jan 1, 2017Active
G9845Patient received anti-egfr monoclonal antibody therapy—Jan 1, 2017Active
G9846Patients who died from cancer—Jan 1, 2017Active
G9847Patient received systemic cancer-directed therapy in the last 14 days of life—Jan 1, 2017Active
G9848Patient did not receive systemic cancer-directed therapy in the last 14 days of life—Jan 1, 2017Active
G9849Patients who died from cancer—Jan 1, 2017Ended Dec 31, 2020
G9850Patient had more than one emergency department visit in the last 30 days of life—Jan 1, 2017Ended Dec 31, 2020
G9851Patient had one or less emergency department visits in the last 30 days of life—Jan 1, 2017Ended Dec 31, 2020
G9852Patients who died from cancer—Jan 1, 2017Ended Dec 31, 2023
G9853Patient admitted to the icu in the last 30 days of life—Jan 1, 2017Ended Dec 31, 2023
G9854Patient was not admitted to the icu in the last 30 days of life—Jan 1, 2017Ended Dec 31, 2023
G9855Patients who died from cancer—Jan 1, 2017Ended Dec 31, 2020
G9856Patient was not admitted to hospice—Jan 1, 2017Ended Dec 31, 2020
G9857Patient admitted to hospice—Jan 1, 2017Ended Dec 31, 2020
G9858Patient enrolled in hospice—Jan 1, 2017Active
G9859Patients who died from cancer—Jan 1, 2017Active
G9860Patient spent less than three days in hospice care—Jan 1, 2017Active
G9861Patient spent greater than or equal to three days in hospice care—Jan 1, 2017Active
G9862Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons)—Jan 1, 2017Active
G9868Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes—Jan 1, 2018Active
G9869Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes—Jan 1, 2018Active
G9870Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes—Jan 1, 2018Active
G9871Behavioral counseling for diabetes prevention, online, 60 minutes—Jan 1, 2026Active
G9873First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions—Apr 1, 2018Active
G9874Four total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions—Apr 1, 2018Active
G9875Nine total medicare diabetes prevention program (mdpp) core sessions were attended by an mdpp beneficiary under the mdpp expanded model (em). a core session is an mdpp service that: (1) is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions—Apr 1, 2018Active
G9876Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9—Apr 1, 2018Active
G9877Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12—Apr 1, 2018Active
G9878Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions.the beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 7-9—Apr 1, 2018Active