G9634 – Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved

Long description

Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved

Short description

Qual life tool 2x same/impr

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, 2022 – No change

Termination date

December 31, 2021

Nearby G codes

• G9626 – Documented medical reason for not reporting bladder injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bladder injury)
• G9627 – Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9628 – Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery
• G9629 – Documented medical reasons for not reporting bowel injury (e.g., gynecologic or other pelvic malignancy documented, planned (e.g., not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel, or patient death from non-medical causes not related to surgery, patient died during procedure without evidence of bowel injury)
• G9630 – Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9631 – Patient sustained ureter injury at the time of surgery or discovered subsequently up to 30 days post-surgery
• G9632 – Documented medical reasons for not reporting ureter injury (e.g., gynecologic or other pelvic malignancy documented, concurrent surgery involving bladder pathology, injury that occurs during a urinary incontinence procedure, patient death from non-medical causes not related to surgery, patient died during procedure without evidence of ureter injury)
• G9633 – Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9635 – Health-related quality of life not assessed with tool for documented reason(s) (e.g., patient has a cognitive or neuropsychiatric impairment that impairs his/her ability to complete the hrqol survey, patient has the inability to read and/or write in order to complete the hrqol questionnaire)
• G9636 – Health-related quality of life not assessed with tool during at least two visits or quality of life score declined
• G9637 – Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)
• G9638 – Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)
• G9639 – Major amputation or open surgical bypass not required within 48 hours of the index endovascular lower extremity revascularization procedure
• G9640 – Documentation of planned hybrid or staged procedure
• G9641 – Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure
• G9642 – Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)