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G8752
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ICD-10-CM
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Procedure Codes
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HCPCS Level II
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Procedures and Professional Services (Temporary)
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G8395–G8970
G8752
Most recent systolic blood pressure < 140 mmhg
Back
G8395
Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
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G8396
Left ventricular ejection fraction (lvef) not performed or documented
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G8397
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
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G8399
Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
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G8400
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given
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G8404
Lower extremity neurological exam performed and documented
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G8405
Lower extremity neurological exam not performed
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G8410
Footwear evaluation performed and documented
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G8415
Footwear evaluation was not performed
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G8416
Clinician documented that patient was not an eligible candidate for footwear evaluation measure
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G8417
Bmi is documented above normal parameters and a follow-up plan is documented
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G8418
Bmi is documented below normal parameters and a follow-up plan is documented
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G8419
Bmi documented outside normal parameters, no follow-up plan documented, no reason given
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G8420
Bmi is documented within normal parameters and no follow-up plan is required
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G8421
Bmi not documented and no reason is given
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G8427
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications
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G8428
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given
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G8430
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)
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G8431
Screening for depression is documented as being positive and a follow-up plan is documented
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G8432
Depression screening not documented, reason not given
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G8433
Screening for depression not completed, documented patient or medical reason
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G8450
Beta-blocker therapy prescribed
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G8451
Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)
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G8452
Beta-blocker therapy not prescribed
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G8465
High or very high risk of recurrence of prostate cancer
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G8473
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed
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G8474
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)
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G8475
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed, reason not given
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G8476
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg
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G8477
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg
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G8478
Blood pressure measurement not performed or documented, reason not given
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G8510
Screening for depression is documented as negative, a follow-up plan is not required
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G8511
Screening for depression documented as positive, follow-up plan not documented, reason not given
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G8535
Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
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G8536
No documentation of an elder maltreatment screen, reason not given
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G8539
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment
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G8540
Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter
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G8541
Functional outcome assessment using a standardized tool not documented, reason not given
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G8542
Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required
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G8543
Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
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G8559
Patient referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation
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G8560
Patient has a history of active drainage from the ear within the previous 90 days
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G8561
Patient is not eligible for the referral for otologic evaluation for patients with a history of active drainage measure
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G8562
Patient does not have a history of active drainage from the ear within the previous 90 days
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G8563
Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
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G8564
Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified)
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G8565
Verification and documentation of sudden or rapidly progressive hearing loss
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G8566
Patient is not eligible for the "referral for otologic evaluation for sudden or rapidly progressive hearing loss" measure
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G8567
Patient does not have verification and documentation of sudden or rapidly progressive hearing loss
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G8568
Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not given
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G8569
Prolonged postoperative intubation (> 24 hrs) required
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G8570
Prolonged postoperative intubation (> 24 hrs) not required
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G8575
Developed postoperative renal failure or required dialysis
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G8576
No postoperative renal failure/dialysis not required
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G8577
Re-exploration required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason
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G8578
Re-exploration not required due to mediastinal bleeding with or without tamponade, unplanned coronary artery intervention (native, vessel, graft, or both), valve dysfunction, aortic reintervention, or other cardiac reason
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G8598
Aspirin or another antiplatelet therapy used
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G8599
Aspirin or another antiplatelet therapy not used, reason not given
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G8600
Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well
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G8601
Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention)
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G8602
Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given
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G8633
Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed
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G8635
Pharmacologic therapy for osteoporosis was not prescribed, reason not given
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G8647
Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
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G8648
Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)
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G8650
Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given
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G8651
Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
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G8652
Residual score for the hip impairment successfully calculated and the score was less than zero (< 0)
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G8654
Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given
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G8655
Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0)
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G8656
Residual score for the lower leg, foot or ankle impairment successfully calculated and the score was less than zero (< 0)
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G8658
Residual score for the lower leg, foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, reason not given
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G8659
Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
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G8660
Residual score for the low back impairment successfully calculated and the score was less than zero (< 0)
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G8661
Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
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G8662
Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given
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G8663
Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
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G8664
Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0)
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G8666
Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge, reason not given
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G8667
Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
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G8668
Residual score for the elbow, wrist or hand impairment successfully calculated and the score was less than zero (< 0)
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G8670
Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given
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G8694
Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd
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G8708
Patient not prescribed antibiotic
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G8709
Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)
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G8710
Patient prescribed antibiotic
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G8711
Prescribed antibiotic on or within 3 days after the episode date
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G8712
Antibiotic not prescribed or dispensed
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G8721
Pt category (primary tumor), pn category (regional lymph nodes), and histologic grade were documented in pathology report
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G8722
Documentation of medical reason(s) for not including the pt category, the pn category or the histologic grade in the pathology report (e.g., re-excision without residual tumor; non-carcinomasanal canal)
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G8723
Specimen site is other than anatomic location of primary tumor
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G8724
Pt category, pn category and histologic grade were not documented in the pathology report, reason not given
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G8733
Elder maltreatment screen documented as positive and a follow-up plan is documented
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G8734
Elder maltreatment screen documented as negative, follow-up is not required
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G8735
Elder maltreatment screen documented as positive, follow-up plan not documented, reason not given
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G8749
Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma)
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G8752
Most recent systolic blood pressure < 140 mmhg
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G8753
Most recent systolic blood pressure >= 140 mmhg
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G8754
Most recent diastolic blood pressure < 90 mmhg
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G8755
Most recent diastolic blood pressure >= 90 mmhg
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G8756
No documentation of blood pressure measurement, reason not given
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G8783
Normal blood pressure reading documented, follow-up not required
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G8785
Blood pressure reading not documented, reason not given
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G8797
Specimen site other than anatomic location of esophagus
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G8798
Specimen site other than anatomic location of prostate
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G8806
Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented
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G8807
Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g., patient has a documented intrauterine pregnancy [iup])
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G8808
Trans-abdominal or trans-vaginal ultrasound not performed, reason not given
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G8815
Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
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G8816
Statin medication prescribed at discharge
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G8817
Statin therapy not prescribed at discharge, reason not given
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G8826
Patient discharged to home no later than post-operative day #2 following evar
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G8833
Patient not discharged to home by post-operative day #2 following evar
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G8834
Patient discharged to home no later than post-operative day #2 following cea
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G8838
Patient not discharged to home by post-operative day #2 following cea
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G8839
Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness
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G8840
Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)
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G8841
Sleep apnea symptoms not assessed, reason not given
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G8842
Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea
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G8843
Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)
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G8844
Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given
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G8845
Positive airway pressure therapy prescribed
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G8846
Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)
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G8849
Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)
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G8850
Positive airway pressure therapy not prescribed, reason not given
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G8851
Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented)
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G8854
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
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G8855
Adherence to therapy was not assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given
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G8856
Referral to a physician for an otologic evaluation performed
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G8857
Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness)
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G8858
Referral to a physician for an otologic evaluation not performed, reason not given
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G8863
Patients not assessed for risk of bone loss, reason not given
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G8864
Pneumococcal vaccine administered or previously received
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G8865
Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)
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G8866
Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)
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G8867
Pneumococcal vaccine not administered or previously received, reason not given
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G8869
Patient has documented immunity to hepatitis b and initiating anti-tnf therapy
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G8875
Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
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G8876
Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)
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G8877
Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given
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G8878
Sentinel lymph node biopsy procedure performed
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G8880
Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)
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G8881
Stage of breast cancer is greater than t1n0m0 or t2n0m0
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G8882
Sentinel lymph node biopsy procedure not performed, reason not given
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G8907
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility
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G8908
Patient documented to have received a burn prior to discharge
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G8909
Patient documented not to have received a burn prior to discharge
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G8910
Patient documented to have experienced a fall within asc
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G8911
Patient documented not to have experienced a fall within ambulatory surgical center
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G8912
Patient documented to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
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G8913
Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event
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G8914
Patient documented to have experienced a hospital transfer or hospital admission upon discharge from asc
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G8915
Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc
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G8916
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time
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G8917
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time
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G8918
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis
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G8923
Current or prior left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function
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G8924
Spirometry results documented (fev1/fvc < 70%)
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G8934
Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function
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G8935
Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
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G8936
Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)
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G8937
Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given
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G8942
Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment
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G8944
Ajcc melanoma cancer stage 0 through iic melanoma
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G8946
Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)
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G8950
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
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G8952
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
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G8955
Most recent assessment of adequacy of volume management documented
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G8956
Patient receiving maintenance hemodialysis in an outpatient dialysis facility
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G8958
Assessment of adequacy of volume management not documented, reason not given
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G8961
Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery
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G8962
Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery
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G8967
Fda approved oral anticoagulant is prescribed
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G8968
Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g., present or planned atrial appendage occlusion or ligation or patient being currently enrolled in a clinical trial related to af/atrial flutter treatment)
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G8969
Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)
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G8970
No risk factors or one moderate risk factor for thromboembolism
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Procedure code
CODABLE
G8752
Most recent systolic blood pressure < 140 mmhg
Part
HCPCS Level II
G
Procedures and Professional Services (Temporary)
G8
G8395–G8970
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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