G9400 HCPCS - DOCUMENTATION OF MEDICAL OR PATIENT REASON(S) FOR NOT DISCUSSING TREATMENT OPTIONS; MEDICAL REASONS: PATIENT IS NOT A CANDIDATE FOR TREATMENT DUE TO ADVANCED PHYSICAL OR MENTAL HEALTH COMORBIDITY (INCLUDING ACTIVE SUBSTANCE USE); CURRENTLY RECEIVING ANTIVIRAL TREATMENT; SUCCESSFUL ANTIVIRAL TREATMENT (WITH SUSTAINED VIROLOGIC RESPONSE) PRIOR TO REPORTING PERIOD; OTHER DOCUMENTED MEDICAL REASONS; PATIENT REASONS: PATIENT UNABLE OR UNWILLING TO PARTICIPATE IN THE DISCUSSION OR OTHER PATIENT REASONS

Code Information

HCPCS Code: G9400
Sequence Number: 0010
Short Description: Doc reas no disc tx opt
Long Description: Documentation of medical or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons
Date Added: 1/1/2015
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2022
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

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

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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G9400
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 or patient reason(s) for not discussing treatment options; medical reasons: patient is not a candidate for treatment due to advanced physical or mental health comorbidity (including active substance use); currently receiving antiviral treatment; successful antiviral treatment (with sustained virologic response) prior to reporting period; other documented medical reasons; patient reasons: patient unable or unwilling to participate in the discussion or other patient reasons
HCPCS Short Description	Doc reas no disc tx opt
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	1/1/2015
HCPCS Action Effective Date	1/1/2022
HCPCS Termination Date	12/31/2021
HCPCS Action Code	N - No maintenance for this code