HCPCS Code Section: HCPCS G Codes

Meprobamate Short Description: Assay of meprobamate Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …

Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given Short Description: Pt w/dxa no results doc Coverage Code: Carrier judgment Action Code: No maintenance for …

Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given Short Description: Cur meds not document Coverage Code: Carrier judgment Action …

Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient’s current medications Short Description: Docrev cur meds by elig clin Coverage Code: Carrier …

Bmi not documented, documentation the patient is not eligible for bmi calculation Short Description: Pt inelig bmi calculation Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Bmi not documented and no reason is given Short Description: Bmi not calculated Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2008 …

Bmi is documented within normal parameters and no follow-up plan is required Short Description: Calc bmi norm parameters Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Bmi documented outside normal parameters, no follow-up plan documented, no reason given Short Description: Calc bmi out nrm param nof/u Coverage Code: Carrier judgment Action Code: No maintenance for …

Bmi is documented below normal parameters and a follow-up plan is documented Short Description: Calc bmi blw low param f/u Coverage Code: Carrier judgment Action Code: No maintenance for …

Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior …