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

Long description

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

Short description

Dx bipol, death, nhres, hosp

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, 2015 – No change

Nearby G codes

• 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
• G9391 – Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit
• 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
• 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
• G9402 – Patient received follow-up within 30 days after discharge
• G9403 – Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up)
• G9404 – Patient did not receive follow-up within 30 days after discharge