G9522 – Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given

Long description

Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given

Short description

Er/ip hosp =/>2 in 12 mos

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, 2016

Last change

January 1, 2016 – No change

Nearby G codes

• G9514 – Patient required a return to the operating room within 90 days of surgery
• G9515 – Patient did not require a return to the operating room within 90 days of surgery
• G9516 – Patient achieved an improvement in visual acuity, from their preoperative level, within 90 days of surgery
• G9517 – Patient did not achieve an improvement in visual acuity, from their preoperative level, within 90 days of surgery, reason not given
• G9518 – Documentation of active injection drug use
• G9519 – Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
• G9520 – Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery
• G9521 – Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
• G9523 – Patient discontinued from hemodialysis or peritoneal dialysis
• G9524 – Patient was referred to hospice care
• G9525 – Documentation of patient reason(s) for not referring to hospice care (e.g., patient declined, other patient reasons)
• G9526 – Patient was not referred to hospice care, reason not given
• G9529 – Patient with minor blunt head trauma had an appropriate indication(s) for a head ct
• G9530 – Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider
• G9531 – Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, or is currently taking an antiplatelet medication including: abciximab, anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar
• G9532 – Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma