G9526 – Patient was not referred to hospice care, reason not given

Long description

Patient was not referred to hospice care, reason not given

Short description

No reason, no refer hospice

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, 2021 – No change

Termination date

December 31, 2020

Nearby G codes

• 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
• 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
• 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)
• 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
• G9533 – Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct
• G9534 – Advanced brain imaging (cta, ct, mra or mri) was not ordered
• G9535 – Patients with a normal neurological examination
• G9536 – Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)