G9356 – Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)

Long description

Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation)

Short description

Early ind/delivery

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

Nearby G codes

• G9348 – Ct scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons
• G9349 – Ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
• G9350 – Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis
• G9351 – More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis
• G9352 – More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis, reason not given
• G9353 – More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg, patients with complications, second ct obtained prior to surgery, other medical reasons)
• G9354 – One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis
• G9355 – Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation)
• G9357 – Post-partum screenings, evaluations and education performed
• G9358 – Post-partum screenings, evaluations and education not performed
• G9359 – Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier
• G9360 – No documentation of negative or managed positive tb screen
• G9361 – Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypertension, preeclampsia and eclampsia, rupture of membranes (premature or prolonged), maternal conditions complicating pregnancy/delivery, fetal conditions complicating pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in clinical trial)]
• G9362 – Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer, as documented in the anesthesia record
• G9363 – Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia record
• G9364 – Sinusitis caused by, or presumed to be caused by, bacterial infection