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Codes: g9507

g9507

g9507 is a valid HCPCS code for 2023. It's used to specify:
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)

g9507- HCPCS Details

HCPCS Code

g9507

Description

Short Description
Doc reas on statin or contra
Long Description
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)

A code denoting Medicare coverage status.

HCPCS Coverage Code ⓘ

C

A code denoting the change made to a procedure or modifier code within the HCPCS system.

HCPCS Action Code ⓘ
N =
No maintenance for this code

Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

HCPCS Pricing Indicator ⓘ
00 =
Service not separately priced by part B (e.G. services not covered bundled used by part a only etc.)

Code used to identify instances where a procedure could be priced under multiple methodologies.

HCPCS Multiple Pricing Indicator Code ⓘ
9 =
Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

Berenson-Eggers Type of Service (BETOS) classification categories are used to analyze Medicare costs. All Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure codes are assigned to a BETOS category.

BETOS Classification ⓘ

Z2 =
Undefined codes

The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.

Type of Service ⓘ

1 =
Medical care
( )

Effective date of action to a procedure or modifier code

Effective Date ⓘ

01/01/2016

The year the HCPCS code was added to the Healthcare Common Procedure Coding System.

Date Added ⓘ

01/01/2016
Termination Date
-

The HCPCS Code Section that this code belongs to. It's typically denoted by the first letter in the code.

Code Section ⓘ

g