G9522 Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given

Billable / valid for submission HCPCS Release 2026Q3

Short description: Er/ip hosp =/>2 in 12 mos

Version history

Related codes in G95

• G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy
• G9501 Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given
• G9502 Documentation of medical reason for not performing foot exam (i.e., patients who have had either a bilateral amputation above or below the knee, or both a left and right amputation above or below the knee before or during the measurement period)
• G9504 Documented reason for not assessing hepatitis b virus (hbv) status (e.g., patient not initiating anti-tnf therapy, patient declined) prior to initiating anti-tnf therapy
• G9505 Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason
• G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)
• G9508 Documentation that the patient is not on a statin medication
• G9509 Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5
• G9510 Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5
• G9511 Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period
• G9512 Individual had a pdc of 0.8 or greater
• G9513 Individual did not have a pdc of 0.8 or greater
• G9514 Patient required a return to the operating room within 90 days of surgery
• G9515 Patient did not require a return to the operating room within 90 days of surgery
• G9516 Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery
• G9517 Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given
• G9518 Documentation of active injection drug use
• G9519 Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
• G9520 Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
• G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months

All G95 codes →