G9676 HCPCS - PATIENTS AGED 40 TO 75 YEARS AT THE BEGINNING OF THE MEASUREMENT PERIOD WITH TYPE 1 OR TYPE 2 DIABETES AND WITH AN LDL-C RESULT OF 70-189 MG/DL RECORDED AS THE HIGHEST FASTING OR DIRECT LABORATORY TEST RESULT IN THE MEASUREMENT YEAR OR DURING THE TWO YEARS PRIOR TO THE BEGINNING OF THE MEASUREMENT PERIOD

Code Information

HCPCS Code: G9676
Sequence Number: 0010
Short Description: 40-75y w/type 1/2 w/ldl-c rs
Long Description: Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
Date Added: 1/1/2016
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2016
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	G9676
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	Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period
HCPCS Short Description	40-75y w/type 1/2 w/ldl-c rs
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	1/1/2016
HCPCS Action Effective Date	1/1/2016
HCPCS Action Code	N - No maintenance for this code