G9928 – Fda-approved anticoagulant not prescribed, reason not given

Long description

Fda-approved anticoagulant not prescribed, reason not given

Short description

No warf or fda drug presc

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, 2022 – No change

Nearby G codes

• G9920 – Screening performed and negative
• G9921 – No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified
• G9922 – Safety concerns screen provided and if positive then documented mitigation recommendations
• G9923 – Safety concerns screen provided and negative
• G9924 – Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations, orders or referrals for positive screen (e.g., patient in palliative care, other medical reason)
• G9925 – Safety concerns screening not provided, reason not otherwise specified
• G9926 – Safety concerns screening positive screen is without provision of mitigation recommendations, including but not limited to referral to other resources
• G9927 – Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment
• G9929 – Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery)
• G9930 – Patients who are receiving comfort care only
• G9931 – Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for women
• G9932 – Documentation of patient reason(s) for not having records of negative or managed positive tb screen (e.g., patient does not return for mantoux (ppd) skin test evaluation)
• G9933 – Adenoma(s) or colorectal cancer detected during screening colonoscopy
• G9934 – Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma
• G9935 – Adenoma(s) or colorectal cancer not detected during screening colonoscopy
• G9936 – Surveillance colonoscopy - personal history of colonic polyps, colon cancer, or other malignant neoplasm of rectum, rectosigmoid junction, and anus