G9685 Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project
Billable / valid for submission HCPCS Release 2026Q3
Short description: Acute nursing facility care
Version history
| Release | Valid from | Valid to | Description | Billable |
|---|---|---|---|---|
| 2026Q3 | 2026-07-01 | current | Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project | yes |
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)