G9391 – Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit

Long description

Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit

Short description

Achv refrac +1d

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, 2016 – No change

Termination date

December 31, 2015

Nearby G codes

• 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
• G9382 – Patient not offered assistance with end of life issues or existing end of life plan was not reviewed or updated during the measurement period
• G9383 – Patient received screening for hcv infection within the 12 month reporting period
• G9384 – Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g., decompensated cirrhosis indicating advanced disease [i.e., ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular carcinoma, waitlist for organ transplant, limited life expectancy, other medical reasons)
• G9385 – Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g., patient declined, other patient reasons)
• G9386 – Screening for hcv infection not received within the 12 month reporting period, reason not given
• G9389 – Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery
• G9390 – No unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery
• G9392 – Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
• G9393 – Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five
• G9394 – Patient who had a diagnosis of bipolar disorder or personality disorder, death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period
• G9395 – Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five
• G9396 – Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days)
• G9399 – Documentation in the patient record of a discussion between the physician/clinician and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward the outcome of the treatment
• G9400 – Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons
• G9401 – No documentation in the patient record of a discussion between the physician or other qualified healthcare professional and the patient that includes all of the following: treatment choices appropriate to genotype, risks and benefits, evidence of effectiveness, and patient preferences toward treatment