G9285 – Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer

Long description

Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer

Short description

Site not small cell lung ca

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

• 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
• G9279 – Pneumococcal screening performed and documentation of vaccination received prior to discharge
• 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
• G9286 – Antibiotic regimen prescribed within 10 days after onset of symptoms
• G9287 – Antibiotic regimen not prescribed within 10 days after onset of symptoms
• G9288 – Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons)
• G9289 – Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation
• G9290 – 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
• G9291 – Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos
• G9292 – Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative skin biopsies in a patient with a history of melanoma or other documented medical reasons)
• G9293 – Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate