G8797 – Specimen site other than anatomic location of esophagus

Long description

Specimen site other than anatomic location of esophagus

Short description

Specimen site not esophagus

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5B Specialist - psychiatry

Added

January 1, 2012

Last change

January 1, 2012 – No change

Nearby G codes

• G8778 – Documentation of medical reason(s) for not performing diabetes screening test (e.g., patients with a diagnosis of diabetes, or with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8779 – Diabetes screening test not performed, reason not given
• G8780 – Counseling for diet and physical activity performed
• G8781 – Documentation of medical reason(s) for patient not receiving counseling for diet and physical activity (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8782 – Counseling for diet and physical activity not performed, reason not given
• G8783 – Normal blood pressure reading documented, follow-up not required
• G8784 – Patient not eligible (e.g., documentation the patient is not eligible due to active diagnosis of hypertension, patient refuses, urgent or emergent situation)
• G8785 – Blood pressure reading not documented, reason not given
• G8798 – Specimen site other than anatomic location of prostate
• G8806 – Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
• G8807 – Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
• G8808 – Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
• G8809 – Rh-immunoglobulin (rhogam) ordered
• G8810 – Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)
• G8811 – Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given
• G8815 – Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)