| New |
| Code |
Description |
| C9600 |
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed;ßsingle major coronary artery or branch |
| C9601 |
Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed;ß each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
| C9602 |
Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed;ßsingle major coronary artery or branch |
| C9603 |
Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed;ßeach additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
| C9604 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed;ßsingle vessel |
| C9605 |
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed;ß each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) |
| C9606 |
Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
| C9607 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty;ßsingle vessel |
| C9608 |
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty;ß each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) |
| G0458 |
Low dose rate (ldr) prostate brachytherapy services, composite rate |
| G8934 |
Left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function |
| G8935 |
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
| G8936 |
Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
| G8937 |
Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given |
| G8945 |
Aneurysm minor diameter <= 6 cm for men |
| G8961 |
Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery |
| G8962 |
Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery |
| G8963 |
Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci within 2 years |
| G8964 |
Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci within 2 years (e.G. , symptomatic patient, patient greater than 2 years since pci, initial evaluation, etc) |
| G8965 |
Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment |
| G8966 |
Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment |
| G8970 |
No risk factors or one moderate risk factor for thromboembolism |
| G8972 |
One or more high risk factors for thromboembolism or more than one moderate risk factor for thromboembolism |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
| A9520 |
Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
| A9599 |
Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose |
| G9236 |
All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient |
| G9238 |
I intend to report the optimizing patient exposure to ionizing radiation measures group |
| G9252 |
Adenoma(s) or other neoplasm detected during screening colonoscopy |
| G9253 |
Adenoma(s) or other neoplasm not detected during screening colonoscopy |
| G9318 |
Imaging study named according to standardized nomenclature |
| G9319 |
Imaging study not named according to standardized nomenclature, reason not given |
| G9320 |
Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion) studies documented in the 12-month period prior to the current study |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion) studies not documented in the 12-month period prior to the current study, reason not given |
| G9323 |
Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) |
| G9325 |
Ct studies not reported to a radiation dose index registry due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) |
| G9326 |
Ct studies performed not reported to a radiation dose index registry, reason not given |
| G9327 |
Ct studies performed reported to a radiation dose index registry with all necessary data elements |
| G9328 |
Dicom format image data availability not documented in final report due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) |
| G9329 |
Dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
| G9341 |
Search conducted for prior patient ct imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed |
| G9342 |
Search conducted for prior patient imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed not completed, reason not given |
| G9343 |
Search for prior patient completed dicom format images not completed due to medical reasons (eg, ct studies performed for radiation treatment planning or image-guided radiation treatment delivery) |
| G9344 |
Search for prior patient completed dicom format images not completed due to system reasons (ie, facility does not have archival abilities through a shared archival system) |
| G9348 |
Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons (eg, persons with sinusitis symptoms lasting at least 7 to 10 days, antibiotic resistance, immunocompromised, recurrent sinusitis, acute frontal sinusitis, acute sphenoid sinusitis, periorbital cellulitis, or other medical) |
| G9349 |
Documentation of a ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis |
| G9350 |
Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis |
| G9351 |
More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis |
| G9352 |
More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given |
| G9353 |
More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons) |
| G9354 |
More than one ct scan of the paranasal sinuses not ordered within 90 days after the date of diagnosis |
| A9606 |
Radium ra-223 dichloride, therapeutic, per microcurie |
| C2644 |
Brachytherapy source, cesium-131 chloride solution, per millicurie |
| G0276 |
Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial |
| G0277 |
Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) |
| G6001 |
Ultrasonic guidance for placement of radiation therapy fields |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
| G6003 |
Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5mev |
| G6004 |
Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 6-10mev |
| G6005 |
Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 11-19mev |
| G6006 |
Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 20mev or greater |
| G6007 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5mev |
| G6008 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10mev |
| G6009 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19mev |
| G6010 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater |
| G6011 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5mev |
| G6012 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev |
| G6013 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev |
| G6014 |
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20mev or greater |
| G6015 |
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session |
| G6016 |
Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session |
| G6017 |
Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment |
| G9418 |
Primary non-small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation |
| G9419 |
Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of primary non-small cell lung cancer or other documented medical reasons) |
| G9420 |
Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer |
| G9421 |
Primary non-small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation |
| G9422 |
Non-small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation |
| G9423 |
Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons) |
| G9424 |
Specimen site other than anatomic location of lung, is not classified as non-small cell lung cancer or classified as nsclc-nos |
| G9425 |
Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation |
| G9471 |
Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered or documented |
| G9472 |
Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed |
| C2645 |
Brachytherapy planar source, Palladium-103, per square millimeter |
| G9500 |
Radiation exposure indices, exposure time or number of fluorographic images in final report for procedures using fluoroscopy, documented |
| G9501 |
Radiation exposure indices, exposure time or number of fluorographic images not documented in final report for procedure using fluoroscopy, reason not given |
| G9529 |
Patient with minor blunt head trauma had an appropriate indication(s) for a head CT |
| G9530 |
Patient presented within 24 hours of a minor blunt head trauma with a GCS score of 15 and had a head CT ordered for trauma by an emergency care provider |
| G9533 |
Patient with minor blunt head trauma did not have an appropriate indication(s) for a head CT |
| G9536 |
Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); HIV-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms) |
| G9537 |
Documentation of system reason(s) for ordering an advanced brain imaging study (i.e., needed as part of a clinical trial; other clinician ordered the study) |
| G9538 |
Advanced brain imaging (CTA, CT, MRA or MRI) was ordered |
| G9548 |
Final reports for abdominal imaging studies with follow-up imaging recommended |
| G9550 |
Final reports for abdominal imaging studies with follow-up imaging not recommended |
| G9551 |
Final reports for abdominal imaging studies without a liver lesion < 0.5 cm, cystic kidney lesion < 1.0 cm or adrenal lesion < 1.0 cm noted |
| G9552 |
Incidental thyroid nodule < 1.0 cm noted in report |
| G9554 |
Final reports for CT or MRI of the chest or neck or ultrasound of the neck with follow-up imaging recommended |
| G9555 |
Documentation of medical reason(s) for not including documentation that follow up imaging is not needed (e.g., patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy, other medical reason(s)) |
| G9556 |
Final reports for CT or MRI of the chest or neck or ultrasound of the neck with follow-up imaging not recommended |
| G9557 |
Final reports for CT or MRI studies of the chest or neck or ultrasound of the neck without a thyroid nodule < 1.0 cm noted |
| G9594 |
Patient presented within 24 hours of a minor blunt head trauma with a GCS score of 15 and had a head CT ordered for trauma by an emergency care provider |
| G9597 |
pca patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules |
| G9598 |
Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT |
| G9599 |
Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT |
| G9618 |
Documentation of screening for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind |
| Q9950 |
Injection, sulfur hexafluoride lipid microspheres, per ml |
| A9515 |
Choline c-11, diagnostic, per study dose up to 20 millicuries |
| A9587 |
Gallium ga-68, dotatate, diagnostic, 0.1 millicurie |
| A9588 |
Fluciclovine f-18, diagnostic, 1 millicurie |
| A9597 |
Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified |
| A9598 |
Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified |
| C1889 |
Implantable/insertable device for device intensive procedure, not otherwise classified |
| C9744 |
Ultrasound, abdominal, with contrast |
| G9753 |
Documentation of medical reason for not conducting a search for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure, authorized, media-free, shared archive (e.g., trauma, acute myocardial infarction, stroke, aortic aneurysm where time is of the essence) |
