G9658 A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used

Billable / valid for submission HCPCS Release 2026Q3

Short description: Toc tool incl elem not used

Version history

Related codes in G96

• G9603 Patient survey score improved from baseline following treatment
• G9605 Patient survey score did not improve from baseline following treatment
• G9606 Intraoperative cystoscopy performed to evaluate for lower tract injury
• G9607 Documented 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
• G9608 Intraoperative cystoscopy not performed to evaluate for lower tract injury
• G9609 Documentation of an order for anti-platelet agents
• G9610 Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents
• G9611 Order for anti-platelet agents was not documented in the patient's record, reason not given
• G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling
• G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method
• G9624 Patient 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
• G9625 Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery
• G9626 Documented 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)
• G9627 Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9628 Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery
• G9629 Documented 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)
• G9630 Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9637 Final 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)
• G9638 Final 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)
• G9642 Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)

All G96 codes →