2017 HCPCS Codes > G Codes >

G9536

Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)

  • Effective Date: 2016-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Undefined codes

Medicare has not assigned a fee schedule for this code

G9535       G9537