G9712 HCPCS - DOCUMENTATION OF MEDICAL REASON(S) FOR PRESCRIBING OR DISPENSING ANTIBIOTIC (E.G., INTESTINAL INFECTION, PERTUSSIS, BACTERIAL INFECTION, LYME DISEASE, OTITIS MEDIA, ACUTE SINUSITIS, ACUTE PHARYNGITIS, ACUTE TONSILLITIS, CHRONIC SINUSITIS, INFECTION OF THE PHARYNX/LARYNX/TONSILS/ADENOIDS, PROSTATITIS, CELLULITIS/ MASTOIDITIS/BONE INFECTIONS, ACUTE LYMPHADENITIS, IMPETIGO, SKIN STAPH INFECTIONS, PNEUMONIA, GONOCOCCAL INFECTIONS/VENEREAL DISEASE (SYPHILIS, CHLAMYDIA, INFLAMMATORY DISEASES [FEMALE REPRODUCTIVE ORGANS]), INFECTIONS OF THE KIDNEY, CYSTITIS/UTI, ACNE, HIV DISEASE/ASYMPTOMATIC HIV, CYSTIC FIBROSIS, DISORDERS OF THE IMMUNE SYSTEM, MALIGNANCY NEOPLASMS, CHRONIC BRONCHITIS, EMPHYSEMA, BRONCHIECTASIS, EXTRINSIC ALLERGIC ALVEOLITIS, CHRONIC AIRWAY OBSTRUCTION, CHRONIC OBSTRUCTIVE ASTHMA, PNEUMOCONIOSIS AND OTHER LUNG DISEASE DUE TO EXTERNAL AGENTS, OTHER DISEASES OF THE RESPIRATORY SYSTEM, AND TUBERCULOSIS

Code Information

HCPCS Code: G9712

Sequence Number: 0010

Short Description: Doc med rsn presc anbx

Long Description: Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis

Code Added Date: 1/1/2017

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2017

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code:	Z2 - Undefined codes
Type Of Service Code:	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
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')
Coverage Issues Manual Reference Section Number:	N/A
Medicare Carriers Manual Reference Section Number:	N/A
Coverage Code:	C - Carrier judgment

HCPCS Record

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G9712
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis
HCPCS Short Description	Doc med rsn presc anbx
HCPCS Pricing Indicator Code 1	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
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')
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	Z2 - Undefined codes
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2017
HCPCS Action Effective Date	1/1/2017
HCPCS Action Code	N - No maintenance for this code

Download Record

Export to text format icon Download this HCPCS record in Text format: Export

Export to text format icon Download this HCPCS record in Excel (CSV) format: Export

Export to text format icon Download this HCPCS record in XML format: Export

This page was last updated on: 1/1/2018