G9995 – Patients who use palliative care services any time during the measurement period

Long description

Patients who use palliative care services any time during the measurement period

Short description

Pall serv during meas

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, 2022

Last change

January 1, 2024 – No change

Termination date

December 31, 2023

Nearby G codes

• G9987 – Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code
• G9988 – Palliative care services provided to patient any time during the measurement period
• G9989 – Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine)
• G9990 – Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
• G9991 – Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period
• G9992 – Palliative care services used by patient any time during the measurement period
• G9993 – Patient was provided palliative care services any time during the measurement period
• G9994 – Patient is using palliative care services any time during the measurement period
• G9996 – Documentation stating the patient has received or is currently receiving palliative or hospice care
• G9997 – Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter
• G9998 – Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes])
• G9999 – Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, patient cannot provide precise date or details from previous colonoscopy, previous colonoscopy report was incomplete)