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HCPCS Codes Similar to G9965

HCPCS Codes Similar to “G9965” Code.
Patient did not receive at least one well-child visit with a pcp during the performance period

G9964
Patient received at least one well-child visit with a pcp during the performance period
Code added date: 20180101
Code effective date: 20180101
G9219
Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
Code added date: 20140101
Code effective date: 20170101
G9220
Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for medical reason (i.e., patient's cd4+ cell count above threshold within 3 months after cd4+ cell count below threshold, indicating that the patient's cd4+ levels are within an acceptable range and the patient does not require pcp prophylaxis)
Code added date: 20140101
Code effective date: 20150101
G9216
Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given
Code added date: 20140101
Code effective date: 20150101
G9217
Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below 200 cells/mm3, reason not given
Code added date: 20140101
Code effective date: 20170101
G9218
Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%, reason not given
Code added date: 20140101
Code effective date: 20150101
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)
Code added date: 20100101
Code effective date: 20240101
G8600
Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well
Code added date: 20100101
Code effective date: 20230101
G8602
Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given
Code added date: 20100101
Code effective date: 20230101
G9432
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented
Code added date: 20150101
Code effective date: 20150101
G9434
Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given
Code added date: 20150101
Code effective date: 20150101
M1438
Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
Code added date: 20260101
Code effective date: 20260101
G9507
Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)
Code added date: 20160101
Code effective date: 20160101
G9701
Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established
Code added date: 20170101
Code effective date: 20210101