G8928 – Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)

Long description

Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)

Short description

Adj chem not pres rsn spec

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, 2013

Last change

January 1, 2017 – No change

Termination date

December 31, 2016

Nearby G codes

• G8916 – Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time
• G8917 – Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time
• G8918 – Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis
• G8923 – Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function
• G8924 – Spirometry results documented (fev1/fvc < 70%)
• G8925 – Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or patient does not have copd symptoms
• G8926 – Spirometry test not performed or documented, reason not given
• G8927 – Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer
• G8929 – Adjuvant chemotherapy not prescribed or previously received, reason not given
• G8930 – Assessment of depression severity at the initial evaluation
• G8931 – Assessment of depression severity not documented, reason not given
• G8932 – Suicide risk assessed at the initial evaluation
• G8933 – Suicide risk not assessed at the initial evaluation, reason not given
• G8934 – Current or prior 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 (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)