G8806 Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented billable
G8807 Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup]) billable
G8808 Trans-abdominal or trans-vaginal ultrasound not performed, reason not given billable
G8815 Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease) billable
G8816 Statin medication prescribed at discharge billable
G8817 Statin therapy not prescribed at discharge, reason not given billable
G8826 Patient discharged to home no later than post-operative day #2 following evar billable
G8833 Patient not discharged to home by post-operative day #2 following evar billable
G8834 Patient discharged to home no later than post-operative day #2 following cea billable
G8838 Patient not discharged to home by post-operative day #2 following cea billable
G8839 Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness billable
G8840 Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy) billable
G8841 Sleep apnea symptoms not assessed, reason not given billable
G8842 Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea billable
G8843 Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense) billable
G8844 Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given billable
G8846 Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater) billable
G8849 Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage) billable
G8850 Positive airway pressure therapy not prescribed, reason not given billable
G8851 Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) billable
G8854 Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy) billable
G8855 Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given billable
G8856 Referral to a physician for an otologic evaluation performed billable
G8857 Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness) billable
G8858 Referral to a physician for an otologic evaluation not performed, reason not given billable
G8863 Patients not assessed for risk of bone loss, reason not given billable
G8864 Pneumococcal vaccine administered or previously received billable
G8865 Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction) billable
G8866 Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) billable
G8867 Pneumococcal vaccine not administered or previously received, reason not given billable
G8869 Patient has documented immunity to hepatitis b and initiating anti-tnf therapy billable
G8875 Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method billable
G8876 Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician) billable
G8877 Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given billable
G8878 Sentinel lymph node biopsy procedure performed billable
G8880 Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change) billable
G8881 Stage of breast cancer is greater than t1n0m0 or t2n0m0 billable
G8882 Sentinel lymph node biopsy procedure not performed, reason not given billable