HCPCS Code Section: HCPCS G Codes

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 …

Most recent diastolic blood pressure >= 90 mmhg Short Description: Dias bp > or = 90 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Pain assessment documented as positive using a standardized tool and a follow-up plan is documented Short Description: Pain doc pos and plan Coverage Code: Carrier judgment Action Code: No …

Most recent diastolic blood pressure < 90 mmhg Short Description: Dias bp less 90 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Fasting lipid profile not performed, reason not given Short Description: Lipid profile not perf Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Most recent systolic blood pressure >= 140 mmhg Short Description: Sys bp > or = 140 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Most recent systolic blood pressure < 140 mmhg Short Description: Sys bp less 140 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Smoking status and exposure to second hand smoke in the home not assessed, reason not given Short Description: Smkg status not assess Coverage Code: Carrier judgment Action Code: No …

Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, …