G9911 – Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy

Long description

Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy

Short description

Node neg pre/post syst ther

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, 2018 – No change

Nearby G codes

• 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)
• G9910 – 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
• G9912 – Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy
• G9913 – Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specified
• G9914 – Patient initiated an anti-tnf agent
• G9915 – No record of hbv results documented
• G9916 – Functional status performed once in the last 12 months
• G9917 – Documentation of advanced stage dementia and caregiver knowledge is limited
• G9918 – Functional status not performed, reason not otherwise specified
• G9919 – Screening performed and positive and provision of recommendations