Tag - document

HCPCS CodesDescription
G0372Physician service required to establish and document the need for a power mobility device
G9421Primary 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
G9284Non 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
G9290Non 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
G9425Primary 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)
G9818Documentation of sexual activity
G9288Documentation 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)
G8732No documentation of pain assessment, reason not given
G8811Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
G9613Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal resection, etc.)
G9518Documentation of active injection drug use
G9724Patients who had documentation of use of anticoagulant medications overlapping the measurement year
G9610Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
G9278Documentation that the patient is not on daily aspirin or anti-platelet regimen
G9275Documentation that patient is a current non-tobacco user
G9254Documentation of patient discharged to home later than post-operative day 2 following cea or cas
G9508Documentation that the patient is not on a statin medication
M1388Patients with documentation of an exam performed for recurrence of melanoma
C8925Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report
G9619Documentation of reason(s) for not screening for uterine malignancy (e.g., prior hysterectomy)
G9820Documentation of a chlamydia screening test with proper follow-up
G9821No documentation of a chlamydia screening test with proper follow-up
G9243Documentation of viral load less than 200 copies/ml
G9615Preoperative assessment documented
M1258Cvd risk assessment performed, have a documented calculated risk score
G9214Cd4+ cell count or cd4+ cell percentage results documented
M1106The start of an episode of care documented in the medical record
M1111The start of an episode of care documented in the medical record
M1116The start of an episode of care documented in the medical record
M1121The start of an episode of care documented in the medical record
M1126The start of an episode of care documented in the medical record
M1135The start of an episode of care documented in the medical record
M1136The start of an episode of care documented in the medical record
G8924Spirometry results documented (fev1/fvc < 70%)