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

Long description

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

Short description

No disc tx choices

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

Termination date

December 31, 2021

Nearby G codes

• 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
• 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
• 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
• G9405 – Patient received follow-up within 7 days after discharge
• G9406 – Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-compliance for visit follow-up)
• G9407 – Patient did not receive follow-up within 7 days after discharge
• G9408 – Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days
• G9409 – Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days