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HCPCS Codes Similar to G9801

HCPCS Codes Similar to “G9801” Code.
Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis

G9522
Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened, reason not given
Code added date: 20160101
Code effective date: 20160101
G9521
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months
Code added date: 20160101
Code effective date: 20160101
G9656
Patient transferred directly from anesthetizing location to pacu or other non-icu location
Code added date: 20160101
Code effective date: 20180101
G9581
Door to puncture time of greater than 2 hours for reasons documented by clinician (e.g., patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment; hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment)
Code added date: 20160101
Code effective date: 20170101
G9766
Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment
Code added date: 20170101
Code effective date: 20170101
G9826
Patient transferred to practice after initiation of chemotherapy
Code added date: 20170101
Code effective date: 20210101
G9836
Reason for not administering trastuzumab documented (e.g. patient declined, patient died, patient transferred, contraindication or other clinical exclusion, neoadjuvant chemotherapy or radiation not complete)
Code added date: 20170101
Code effective date: 20210101
G2207
Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course)
Code added date: 20210101
Code effective date: 20230101
G0409
Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
Code added date: 20090101
Code effective date: 20090101
G0535
Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)
Code added date: 20250101
Code effective date: 20250101
G0536
Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatment and recovery goals; conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes; developing and proposing strategies to help meet person-centered treatment goals; assisting the patient in locating or navigating recovery support services; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)
Code added date: 20250101
Code effective date: 20250101
G0553
First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month
Code added date: 20250101
Code effective date: 20250101
G0554
Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month
Code added date: 20250101
Code effective date: 20250101
X1
Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care
Code added date: 20180101
Code effective date: 20180101