HCPCS Code Section: HCPCS G Codes

Patient care survey was not completed by patient Short Description: Survey not complete Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 …

Improvement in visual function achieved within 90 days following cataract surgery Short Description: Improve visual funct Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Most recent hemoglobin level

Hemoglobin level measurement not documented, reason not given Short Description: Hbg not doc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 …

Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program Short Description: Cdsm medicalis Coverage Code: Carrier judgment Action Code: Add procedure or modifier code …

Most recent hemoglobin (hgb) level > 12.0 g/dl Short Description: Hgb > 12 g/dl Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program Short Description: Cdsm medcurrent Coverage Code: Carrier judgment Action Code: Add procedure or modifier code …

Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, …

Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program Short Description: Cdsm evicore Coverage Code: Carrier judgment Action Code: Add procedure or modifier code …

Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) Short Description: Remove w insert drug implant Coverage Code: Carrier judgment Action Code: No maintenance …