G9231 – Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period

Long description

Documentation of end stage renal disease (esrd), dialysis, renal transplant before or during the measurement period or pregnancy during the measurement period

Short description

Doc esrd dia trans preg

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, 2014

Last change

January 1, 2017 – No change

Nearby G codes

• G9223 – Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%
• G9224 – Documentation of medical reason for not performing foot exam (e.g., patient with bilateral foot/leg amputation)
• G9225 – Foot exam was not performed, reason not given
• G9226 – Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)
• G9227 – Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter
• G9228 – Chlamydia, gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings)
• G9229 – Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)
• G9230 – Chlamydia, gonorrhea, and syphilis not screened, reason not given
• G9232 – Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition for specified patient reason (e.g., patient is unable to communicate the diagnosis of a comorbid condition; the patient is unwilling to communicate the diagnosis of a comorbid condition; or the patient is unaware of the comorbid condition, or any other specified patient reason)
• G9233 – All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient
• G9234 – I intend to report the total knee replacement measures group
• G9235 – All quality actions for the applicable measures in the general surgery measures group have been performed for this patient
• G9236 – All quality actions for the applicable measures in the optimizing patient exposure to ionizing radiation measures group have been performed for this patient
• G9237 – I intend to report the general surgery measures group
• G9238 – I intend to report the optimizing patient exposure to ionizing radiation measures group
• G9239 – Documentation of reasons for patient initiating maintenance hemodialysis with a catheter as the mode of vascular access (e.g., patient has a maturing arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of hemodialysis, other medical reasons, patient declined avf/avg, other patient reasons, patient followed by reporting nephrologist for fewer than 90 days, other system reasons)