G9428 – Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors

Long description

Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors

Short description

Patho rpt incl pt ctg

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

• G9420 – Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer
• G9421 – Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation
• G9422 – Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos)
• G9423 – Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]
• G9424 – Specimen site other than anatomic location of lung, or classified as nsclc-nos
• G9425 – Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma)
• G9426 – Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients
• G9427 – Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients
• G9429 – Documentation of medical reason(s) for not including pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies, insufficient tissue, or other documented medical reasons)
• G9430 – Specimen site other than anatomic cutaneous location
• G9431 – Pathology report does not include the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors
• G9432 – Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented
• G9433 – Death, permanent nursing home resident or receiving hospice or palliative care any time during the measurement period
• G9434 – Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given
• G9435 – Aspirin prescribed at discharge
• G9436 – Aspirin not prescribed for documented reasons (e.g., allergy, medical intolerance, history of bleed)