HCPCS Code Section: HCPCS G Codes

Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other …

Antithrombotic therapy prescribed at discharge Short Description: Antithromb thx presc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January …

Prescribed or dispensed antibiotic Short Description: Pres antibiotic Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January 1, 2012 …

Patient prescribed or dispensed antibiotic Short Description: Pt pres antibiotic Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January …

Patient prescribed or dispensed antibiotic for documented medical reason(s) within three days after the initial diagnosis of uri (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute …

Patient not prescribed or dispensed antibiotic Short Description: Antibiotic not pres Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: …

Clinician has documented reason for not performing fasting lipid profile (e.g., patient declined, other patient reasons) Short Description: Doc reas no lipid profile Coverage Code: Carrier judgment Action Code: …

12-lead electrocardiogram (ecg) not performed, reason not given Short Description: Ecg not performed Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 …

Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol) Short Description: Lipid profile perf doc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg) Short Description: Pt reas no ecg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …