G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy billable
G9501 Radiation exposure indices not documented in final report for procedure using fluoroscopy, reason not given billable
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) billable
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 billable
G9505 Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason billable
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) billable
G9508 Documentation that the patient is not on a statin medication billable
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 billable
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 billable
G9511 Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period billable
G9512 Individual had a pdc of 0.8 or greater billable
G9513 Individual did not have a pdc of 0.8 or greater billable
G9514 Patient required a return to the operating room within 90 days of surgery billable
G9515 Patient did not require a return to the operating room within 90 days of surgery billable
G9516 Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery billable
G9517 Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given billable
G9518 Documentation of active injection drug use billable
G9519 Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery billable
G9520 Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery billable
G9521 Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months billable
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
G9529 Patient with minor blunt head trauma had an appropriate indication(s) for a head ct billable
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider billable
G9531 Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar billable
G9533 Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct billable
G9537 Imaging needed as part of a clinical trial; or other clinician ordered the study billable
G9539 Intent for potential removal at time of placement billable
G9540 Patient alive 3 months post procedure billable
G9541 Filter removed within 3 months of placement billable
G9542 Documented re-assessment for the appropriateness of filter removal within 3 months of placement billable
G9543 Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement billable
G9544 Patients that do not have the filter removed, documented re-assessment for the appropriateness of filter removal, or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement billable
G9547 Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols billable
G9548 Final reports for imaging studies stating no follow-up imaging is recommended billable
G9549 Documentation of medical reason(s) that follow-up imaging is indicated (e.g., patient has lymphadenopathy, signs of metastasis or an active diagnosis or history of cancer, and other medical reason(s)) billable
G9550 Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up billable
G9551 Final reports for imaging studies without an incidentally found lesion noted billable
G9552 Incidental thyroid nodule < 1.0 cm noted in report billable
G9554 Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging recommended billable
G9555 Documentation of medical reason(s) for recommending follow up imaging (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s)) billable
G9556 Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended billable
G9557 Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found billable
G9580 Door to puncture time of 90 minutes or less billable
G9582 Door to puncture time of greater than 90 minutes, no reason given billable
G9593 Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules billable
G9594 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider billable
G9595 Patient has documentation of ventricular shunt, brain tumor, or coagulopathy billable
G9597 Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules billable
G9598 Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct billable
G9599 Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct billable