G9685 – Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project

Long description

Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project

Short description

Acute nursing facility care

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

October 1, 2016

Last change

January 1, 2019 – No change

Nearby G codes

• 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
• G9686 – Onsite nursing facility conference, that is separate and distinct from an evaluation and management visit, including qualified practitioner and at least one member of the nursing facility interdisciplinary care team
• G9687 – Hospice services provided to patient any time during the measurement period
• G9688 – Patients using hospice services any time during the measurement period
• G9689 – Patient admitted for performance of elective carotid intervention
• G9690 – Patient receiving hospice services any time during the measurement period
• G9691 – Patient had hospice services any time during the measurement period
• G9692 – Hospice services received by patient any time during the measurement period
• G9693 – Patient use of hospice services any time during the measurement period