G9279 – Pneumococcal screening performed and documentation of vaccination received prior to discharge

Long description

Pneumococcal screening performed and documentation of vaccination received prior to discharge

Short description

Pne scrn done doc vac done

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, 2014 – No change

Nearby G codes

• 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)
• G9278 – Documentation that the patient is not on daily aspirin or anti-platelet regimen
• G9280 – Pneumococcal vaccination not administered prior to discharge, reason not specified
• G9281 – Screening performed and documentation that vaccination not indicated/patient refusal
• G9282 – Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons)
• G9283 – Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
• G9284 – Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation
• G9285 – Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer
• G9286 – Antibiotic regimen prescribed within 10 days after onset of symptoms
• G9287 – Antibiotic regimen not prescribed within 10 days after onset of symptoms