G9269 – Documentation of patient without one or more complications and without mortality within 30 days

Long description

Documentation of patient without one or more complications and without mortality within 30 days

Short description

Doc no comp or mort w in 30d

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, 2022 – No change

Termination date

December 31, 2021

Nearby G codes

• G9261 – Documentation of patient survival and absence of stroke following cea
• G9262 – Documentation of patient death in the hospital following endovascular aaa repair
• G9263 – Documentation of patient discharged alive following endovascular aaa repair
• G9264 – Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons (e.g., other medical reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft (avg), other patient reasons)
• G9265 – Patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter as the mode of vascular access
• G9266 – Patient receiving maintenance hemodialysis for greater than or equal to 90 days without a catheter as the mode of vascular access
• G9267 – Documentation of patient with one or more complications or mortality within 30 days
• G9268 – Documentation of patient with one or more complications within 90 days
• G9270 – Documentation of patient without one or more complications within 90 days
• G9271 – Ldl value < 100
• G9272 – Ldl value >= 100
• G9273 – Blood pressure has a systolic value of < 140 and a diastolic value of < 90
• G9274 – Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90
• G9275 – Documentation that patient is a current non-tobacco user
• G9276 – Documentation that patient is a current tobacco user
• G9277 – Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux)