G9641 – Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure

Long description

Major amputation or open surgical bypass required within 48 hours of the index endovascular lower extremity revascularization procedure

Short description

Amp reqd w/in 48h ieler proc

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

• G9633 – Patient did not sustain ureter injury at the time of surgery nor discovered subsequently up to 30 days post-surgery
• G9634 – Health-related quality of life assessed with tool during at least two visits and quality of life score remained the same or improved
• 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
• G9642 – Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)
• G9643 – Elective surgery
• G9644 – Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure
• G9645 – Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure
• G9646 – Patients with 90 day mrs score of 0 to 2
• G9647 – Patients in whom mrs score could not be obtained at 90 day follow-up
• G9648 – Patients with 90 day mrs score greater than 2
• G9649 – Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa), psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi))