G8861 – Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed

Long description

Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered and documented, review of systems and medication history or pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed

Short description

Dxa ordered for osteo

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, 2020 – No change

Termination date

December 31, 2019

Nearby G codes

• G8853 – Positive airway pressure therapy not prescribed
• G8854 – Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
• G8855 – Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given
• G8856 – Referral to a physician for an otologic evaluation performed
• G8857 – Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)
• G8858 – Referral to a physician for an otologic evaluation not performed, reason not given
• G8859 – Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
• G8860 – Patients who have received dose of corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
• G8862 – Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days
• G8863 – Patients not assessed for risk of bone loss, reason not given
• G8864 – Pneumococcal vaccine administered or previously received
• G8865 – Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)
• G8866 – Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)
• G8867 – Pneumococcal vaccine not administered or previously received, reason not given
• G8868 – Patients receiving a first course of anti-tnf therapy
• G8869 – Patient has documented immunity to hepatitis b and initiating anti-tnf therapy