G9901 – Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period

Long description

Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period

Short description

Pt 66+ snp or ltc pos > 90d

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, 2018

Last change

January 1, 2021 – No change

Nearby G codes

• G9893 – Dilated macular exam was not performed, reason not otherwise specified
• G9894 – Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate
• G9895 – Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g., salvage therapy)
• G9896 – Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate
• G9897 – Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate, reason not given
• G9898 – Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period
• G9899 – Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed
• G9900 – Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified
• G9902 – Patient screened for tobacco use and identified as a tobacco user
• G9903 – Patient screened for tobacco use and identified as a tobacco non-user
• G9904 – Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason)
• G9905 – Patient not screened for tobacco use
• G9906 – Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• G9907 – Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)
• G9908 – Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• G9909 – Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason)