G9827 – Her2-targeted therapies not administered during the initial course of treatment

Long description

Her2-targeted therapies not administered during the initial course of treatment

Short description

Her-2 targ ther no init tx

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, 2017

Last change

January 1, 2021 – No change

Termination date

December 31, 2020

Nearby G codes

• G9819 – Patients who use hospice services any time during the measurement period
• G9820 – Documentation of a chlamydia screening test with proper follow-up
• G9821 – No documentation of a chlamydia screening test with proper follow-up
• G9822 – Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date)
• G9823 – Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
• G9824 – Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation
• G9825 – Her-2/neu negative or undocumented/unknown
• G9826 – Patient transferred to practice after initiation of chemotherapy
• G9828 – Her2-targeted therapies administered during the initial course of treatment
• G9829 – Breast adjuvant chemotherapy administered
• G9830 – Her-2/neu positive
• G9831 – Ajcc stage at breast cancer diagnosis = ii or iii
• G9832 – Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis = t1c
• G9833 – Patient transfer to practice after initiation of chemotherapy
• G9834 – Patient has metastatic disease at diagnosis
• G9835 – Trastuzumab administered within 12 months of diagnosis