Medicare Data Utilities Appendices

MEDICAL EVALUATION AND MANAGEMENT SERVICES
G0087 INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR
SUPPORTIVE, IN AN INPATIENT HOSPITAL, PARTIAL HOSPITAL, OR RESIDENTIAL CARE
SETTING, APPROXIMATELY 75 TO 80 MINUTES FACE-TO-FACE WITH THE PATIENT
G0088 INDIVIDUAL PSYCHOTHERAPY, INSIGHT ORIENTED, BEHAVIOR MODIFYING AND/OR
SUPPORTIVE, IN AN INPATIENT HOSPITAL, PARTIAL HOSPITAL, OR RESIDENTIAL CARE
SETTING, APPROXIMATELY 75 TO 80 MINUTES FACE-TO-FACE WITH THE PATIENT; WITH
MEDICAL EVALUATION AND MANAGEMENT SERVICES
G0089 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 20 TO 30 MINUTES
FACE-TO-FACE WITH THE PATIENT
G0090 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 20 TO 30 MINUTES
FACE-TO-FACE WITH THE PATIENT; WITH MEDICAL EVALUATION AND MANAGEMENT SERVICES
G0091 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 45 TO 50 MINUTES
FACE-TO-FACE WITH THE PATIENT
G0092 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 45 TO 50 MINUTES
FACE-TO-FACE WITH THE PATIENT; WITH MEDICAL EVALUATION AND MANAGEMENT SERVICES
G0093 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 75 TO 80 MINUTES
FACE-TO-FACE WITH THE PATIENT
G0094 INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, IN AN INPATIENT HOSPITAL, PARTIAL
HOSPITAL, OR RESIDENTIAL CARE SETTING, APPROXIMATELY 75 TO 80 MINUTES
FACE-TO-FACE WITH THE PATIENT; WITH MEDICAL EVALUATION AND MANAGEMENT SERVICES
G0095 HEPATIC FUNCTION PANEL A ((WITH BILIRUBIN, TOTAL AND DIRECT); ALBUMIN, SERUM;
BILIRUBIN, TOTAL AND DIRECT; PHOSPHATASE, ALKALINE; TRANSFERASE, ASPARTATE
AMINO (AST)(SGOT); TRANSFERASE, ALANINE AMINO (ALT)(SGPT))
G0096 BASIC METABOLIC PANEL (CARBON DIOXIDE (BICARBONATE); CHLORIDE-BLOOD;
CREATININE-BLOOD; GLUCOSE-QUANTITATIVE; POTASSIUM-SERUM; SODIUM-SERUM; UREA
NITROGEN-QUANTITATIVE)
G0097 ELECTROLYTES PANEL (CARBON DIOXIDE; CHLORIDE-BLOOD; POTASSIUM-SERUM;
SODIUM-SERUM)
G0098 COMPREHENSIVE METABOLIC PANEL (ALBUMIN-SERUM; BILIRUBIN-TOTAL; CALCIUM-TOTAL;
CHLORIDE-BLOOD; CREATININE-BLOOD; GLUCOSE-QUANTITATIVE; PHOSPHATASE-ALKALINE;
POTASSIUM-SERUM; PROTEIN-TOTAL, EXCEPT REFRACTOMETRY; SODIUM-SERUM;
TRANSFERASE-ASPARTATE AMINO (AST) (SGOT); UREA NITROGEN-QUANTITATIVE)
G0100 HIV-1, VIRAL LOAD QUANTITATIVE
G0101 CERVICAL OR VAGINAL CANCER SCREENING; PELVIC AND CLINICAL BREAST EXAMINATION
G0102 PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATION
G0103 PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA), TOTAL
G0104 COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY
G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK
G0106 COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0104, SCREENING SIGMOIDOSCOPY,
BARIUM ENEMA
G0107 COLORECTAL CANCER SCREENING; FECAL-OCCULT BLOOD TEST, 1-3 SIMULTANEOUS
DETERMINATIONS
G0108 DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, INDIVIDUAL, PER 30
MINUTES
G0109 DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING SERVICES, GROUP SESSION (2 OR
MORE), PER 30 MINUTES
G0110 NETT PULM-REHAB; EDUCATION/SKILLS TRAINING, INDIVIDUAL
G0111 NETT PULM-REHAB; EDUCATION/SKILLS TRAINING, GROUP
G0112 NETT PULM-REHAB; NUTRITIONAL GUIDANCE, INITIAL
G0113 NETT PULM-REHAB; NUTRITIONAL GUIDANCE, SUBSEQUENT
G0114 NETT PULM-REHAB; PSYCHOSOCIAL CONSULTATION