2024 HCPCS Code G8928
Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)
TAGS: reporting trial prior reasons patient cancer prescription chemotherapy previously documented currently years prescribed performance adjuvant visit medical diagnosis month enrolled system within current precludes clinical
Notice | HCPCS G8928 terminated on December 31, 2016. |
Short Description | Adj chem not pres rsn spec |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Action Effective Date | January 01, 2017 |
HCPCS Code Added Date | January 01, 2013 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Coverage Issues Manual Reference Section Number | |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- G8914 - Pt trans to hosp post d/c
- G8915 - Pt not trans to hosp at d/c
- G8916 - Pt w iv ab given on time
- G8917 - Pt w iv ab not given on time
- G8918 - Pt w/o preop order iv ab pro
- G8923 - Lvef <= 40% or lvsd
- G8924 - Spir res doc fev1/fvc<70%
- G8925 - Spir fev1/fvc>=60% & no copd
- G8926 - Spiro no perf or doc
- G8927 - Adj chem pres ajcc iii
- G8928 - Adj chem not pres rsn spec
- G8929 - Adj cmo not pres rsn not gvn
- G8930 - Assess of dep @ initial eval
- G8931 - Asses of dep not documented
- G8932 - Suicd rsk assessed init eval
- G8933 - Suicide risk not assessed
- G8934 - Lvef <=40% or dep lv sys fcn
- G8935 - Rx ace or arb therapy
- G8936 - Pt not eligible ace/arb
- G8937 - No rx ace/arb therapy