G9676 – Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period

Long description

Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period

Short description

40-75y w/type 1/2 w/ldl-c rs

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

• G9667 – Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)
• G9669 – I intend to report the multiple chronic conditions measures group
• G9670 – All quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient
• G9671 – I intend to report the diabetic retinopathy measures group
• G9672 – All quality actions for the applicable measures in the diabetic retinopathy measures group have been performed for this patient
• G9673 – I intend to report the cardiovascular prevention measures group
• G9674 – Patients with clinical ascvd diagnosis
• G9675 – Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl
• G9677 – All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patient
• G9678 – Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation agreement
• G9679 – This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary
• G9680 – This code is for onsite acute care treatment of a nursing facility resident with chf; may only be billed once per day per beneficiary
• G9681 – This code is for onsite acute care treatment of a resident with copd or asthma; may only be billed once per day per beneficiary
• G9682 – This code is for the onsite acute care treatment a nursing facility resident with a skin infection; may only be billed once per day per beneficiary
• G9683 – Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project
• G9684 – This code is for the onsite acute care treatment of a nursing facility resident for a uti; may only be billed once per day per beneficiary