HCPCS Code Section: HCPCS G Codes

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 …

Documentation of medical reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not cllinically appropriate) …

Documentation of diagnosis of chronic kidney disease Short Description: Doc dx ckd Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective …

Urine protein test result documented and reviewed Short Description: Urine protein test doc rev Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Lipid profile not performed, reason not given Short Description: Lipid profile not perform Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 …

Documentation of medical reason(s) for not performing lipid profile (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate) Short …

Lipid panel results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c) Short Description: Lipid panel res doc rev Coverage Code: Carrier judgment Action Code: No …

All quality actions for the applicable measures in the cataract measures group have been performed for this patient Short Description: Cataract mg qual act perform Coverage Code: Carrier judgment …

All quality actions for the applicable measures in the cardiovascular prevention measures group have bee performed for this patient Short Description: Car prev mg qual act perform Coverage Code: …