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Codes: g9536

g9536

g9536 is a valid HCPCS code for 2023. It's used to specify:
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)

g9536- HCPCS Details

HCPCS Code

g9536

Description

Short Description
Doc med reas adv brain image
Long Description
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)

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 ⓘ

01/01/2019

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

Date Added ⓘ

01/01/2016
Termination Date
12/31/2018

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

Code Section ⓘ

g