G9457 – Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period

Long description

Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period

Short description

Pt no abd img no doc rsn

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, 2019 – No change

Nearby G codes

• G9449 – History of receiving blood transfusions prior to 1992
• G9450 – History of injection drug use
• G9451 – Patient received one-time screening for hcv infection
• G9452 – Documentation of medical reason(s) for not receiving hcv antibody test due to limited life expectancy
• G9453 – Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons)
• G9454 – One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection, reason not given
• G9455 – Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or contrast mri for hcc
• G9456 – Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years, hepatic decompensation and not a candidate for liver transplantation, or other medical reasons; patient reasons: patient declined or other patient reasons (e.g., cost of tests, time related to accessing testing equipment)
• G9458 – Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user
• G9459 – Currently a tobacco non-user
• G9460 – Tobacco assessment or tobacco cessation intervention not performed, reason not given
• G9463 – I intend to report the sinusitis measures group
• G9464 – All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient
• G9465 – I intend to report the acute otitis externa (aoe) measures group
• G9466 – All quality actions for the applicable measures in the aoe measures group have been performed for this patient
• G9467 – Patient who have received or are receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600 mg prednisone or greater for all fills within the last twelve months