HCPCS Code Section: HCPCS G Codes

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 …

Pt category, pn category and histologic grade were not documented in the pathology report, reason not given Short Description: Pt, pn, hist grade not doc Coverage Code: Carrier judgment …

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

Specimen site is other than anatomic location of primary tumor Short Description: Spec sit not prim tumor Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

12-lead electrocardiogram (ecg) performed Short Description: Ecg performed Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January 1, 2015 …

Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal) Short …

Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report Short Description: Pt, pn, hist grade doc Coverage Code: Carrier judgment Action …

Total kt/v less than 1.7 per week (total clearance of urea / volume ) Short Description: Less 1.7 kt/v per week Coverage Code: Carrier judgment Action Code: No maintenance …