G9423 HCPCS Level II Code: Documentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant…
Medicare Coverage & Payment
- CMS short descriptor: Med reas rpt no histo type
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2015
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- January 1, 2015Added to the code setDocumentation of medical reason for not including pt category, pn category and histologic type [for patient with appropriate exclusion criteria (e.g., metastatic disease, benign tumors, malignant tumors other than carcinomas, inadequate surgical specimens)]
Contextual Map
Every relationship of G9423 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G9403 — Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up)[Sibling]
- G9404 — Patient did not receive follow-up within 30 days after discharge[Sibling]
- G9405 — Patient received follow-up within 7 days after discharge[Sibling]
- G9406 — Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-compliance for visit follow-up)[Sibling]
- G9407 — Patient did not receive follow-up within 7 days after discharge[Sibling]
- G9408 — Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days[Sibling]
- G9409 — Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days[Sibling]
- G9410 — Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision[Sibling]
- and 32 more
Change history
- January 1, 2015 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9423 in its code family, with their registry titles.
- G9418 — Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an…
- G9419 — Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic, specimen does not contain…
- G9420 — Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer
- G9421 — Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is…
- G9422 — Primary lung carcinoma resection report documents pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma and not nsclc-nos)
- G9424 — Specimen site other than anatomic location of lung, or classified as nsclc-nos
- G9425 — Primary lung carcinoma resection report does not document pt category, pn category and for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma, adenocarcinoma)
- G9426 — Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients
- G9427 — Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients
- G9428 — Pathology report includes the pt category, thickness, ulceration and mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors