New 2018 HCPCS codes

I need assistance with the following questions.....

We reached out to our Medicare carrier regarding the new 2018 HCPCS codes with no response:

G9933-G9937 & G9912-G9913 & G9945. Are these codes solely for PQRS reporting? 

Q9950:  Will this code continue to be a pass-though code or fall under the ambulatory payment classification system, or be considered bundled? 

Thank you!


Comments

  • We were told my our Medicare carrier the following: Policy has informed us that these are going to be M status codes which are not covered by Medicare."  Does anyone have any other information?
  • Hello, The new G codes you provided are all quality measures codes. Quality codes should only be used with the appropriate encounter code when a clinician has performed the relevant quality action. G9912 Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy G9913 Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not given G9935 Adenoma(s) or colorectal cancer not detected during screening colonoscopy G9936 Surveillance colonoscopy - personal history of colonic polyps, colon cancer, or other malignant neoplasm of rectum, rectosigmoid junction, and anus G9937 Diagnostic colonoscopy G9945 Patient had cancer, fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis
  • Julia thank you.  When you say the above codes should be used with the appropriate encounter code do you mean appropriate CPT code?  If medicare will not cover these codes, should we take the time to utilize them?
Sign In or Register to comment.