G9368 – At least two orders for high-risk medications from the same drug class not ordered

Long description

At least two orders for high-risk medications from the same drug class not ordered

Short description

>= 2 same hi-rsk med not ord

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

Z2 Undefined codes

Added

January 1, 2015

Last change

January 1, 2022 – No change

Nearby G codes

• 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
• G9365 – One high-risk medication ordered
• G9366 – One high-risk medication not ordered
• G9367 – At least two orders for high-risk medications from the same drug class
• G9369 – Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater
• G9370 – Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater
• G9376 – Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery
• G9377 – Patient did not have the retina attached after 6 months following only one surgery
• G9378 – Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)
• G9379 – Patient did not achieve flat retinas six months post surgery
• G9380 – Patient offered assistance with end of life issues or existing end of life plan was reviewed or updated during the measurement period
• G9381 – Documentation of medical reason(s) for not offering assistance with end of life issues (e.g., patient in hospice care, patient in terminal phase) during the measurement period