HCPCS Code Section: HCPCS G Codes

Patients with diagnosis of a degenerative neurological condition such as als, ms, parkinson’s diagnosed at any time before or during the episode of care Short Description: Dx degen neuro …

Performance not met: multimodal pain management was not used Short Description: No mpm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: January 1, 2020 …

Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period; or did …

Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period Short Description: Adv rx infl vacc Coverage Code: Carrier judgment Action Code: …

Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period Short Description: Infl vacc …

Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime …

Patient had prior adverse reaction caused by zoster vaccine or its components any time during or before the measurement period Short Description: Adv rx zos Coverage Code: Carrier judgment …

Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev Short Description: Radiation treatment delivery Coverage Code: …

Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or …

Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev Short Description: Radiation treatment delivery …