G-codes — Procedures and Professional Services (Temporary)

1261 codes — G-codes: Procedures / Professional Services

Temporary procedure and professional service codes used by Medicare for items not yet assigned a permanent CPT code.

G-codes (G0000-G9999) are CMS-issued temporary codes for procedures, professional services, and quality measures that Medicare needs to track but for which no permanent CPT code exists. They cover screenings (G0101 cervical/vaginal cancer screen, G0102 prostate cancer screen), administration codes (G0008-G0010 vaccine administration), chronic care management services (G0506-G0511), telehealth modifier-like codes, and the entire MIPS Quality reporting set (G8000-G9999 — many of which are now deleted).

G-codes are paid under various fee schedules: most preventive G-codes follow PFS, screening G-codes follow PFS or are statutorily mandated, and MIPS reporting G-codes are non-payable but used for quality tracking.

Frequently-referenced G-codes:

  • G0008 — Administration of influenza vaccine
  • G0101 — Cervical/vaginal cancer screening, pelvic and clinical breast exam
  • G0438 — Annual wellness visit, initial
Code Description
G0008 Admin influenza virus vac
G0009 Admin pneumococcal vaccine
G0010 Admin hepatitis b vaccine
G0011 Hiv prep counsel, md 15-30m
G0012 Injection of hiv prep drug
G0013 Hiv prep counsel, clin staff
G0017 Crisis psychotherapy 60m
G0018 Crisis psychotherapy add 30m
G0019 Comm hlth intg svs sdoh 60mn
G0022 Comm hlth intg svs add 30 m
G0023 Pin service 60m per month
G0024 Pin srv add 30 min pr m
G0027 Semen analysis
G0029 No tob scr/cess int
G0030 Pt scr tob & cess int
G0031 Pall serv during meas
G0032 2+ antipsy schiz
G0033 2+ benzo seiz
G0034 Pall serv during meas
G0035 Pt ed pos 23
G0036 Pt/ptn decln assess
G0037 Pt not able to participate
G0038 Clin pt no ref
G0039 Pt no ref, rn spec
G0040 Pt phys/occ therapy
G0041 Pt/ptn decln referral
G0042 Ref to therapy
G0043 Pt mech pros ht valv
G0044 Pt mitral stenosis
G0045 Mrs 90 days post stk
G0046 No mrs 90 days post stk
G0047 Ped blunt hd traum
G0048 Pall serv during meas
G0049 Main hemo in-cntr
G0050 Pt w/ lmted life expec
G0051 Pt hospice mnth
G0052 Pt peri dialysis dur mo
G0053 Adv rheum pt care mvp
G0054 Strk cr prev pos outcme mvp
G0055 Adv care heart dx mvp
G0057 Best pct pt safety em mvp
G0058 Imprv care le jnt repr mvp
G0059 Pt sfty pos exp w aneth mvp
G0060 Allergy/immunology ss
G0061 Anesthesiology ss
G0062 Audiology ss
G0063 Cardiology ss
G0064 Cert nurse midwife ss
G0065 Chiropractic ss
G0066 Clinical social work ss