HCPCS Code Section: HCPCS G Codes

Risk-adjusted functional status change residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) Short Description: Rafscrs …

Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near …

Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given Short Description: Lvf test not perf Coverage Code: Carrier judgment …

Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason Short Description: Pt not elig for lvf test Coverage …

Lvf testing documented as being performed prior to discharge or in the previous 12 months Short Description: Lvg test perf Coverage Code: Carrier judgment Action Code: No maintenance for …

Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general …

Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs …

Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< …

Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) …

Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively Short Description: Antibiotics not prior surg Coverage Code: Carrier judgment Action Code: No …