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
G9505 Abx pres w/in 10 dys of symp
G9507 Doc reas on statin or contra
G9508 Doc pt not on statin
G9509 Adit mdd dys rem 12 mnths
G9510 Remis12m not phq-9 score <5
G9511 Idx evt dte phq>9 doc 12 mo
G9512 Indiv pdc > 0.8
G9513 Indiv pdc not > 0.8
G9514 Req ret or w/in 90d of surg
G9515 No reas, no ret or w/in 90d
G9516 Impr vis acuit w/in 90d
G9517 No impr vis acuit w/in 90d
G9518 Doc active inj drug use
G9519 Final ref +/- 1.0 w/in 90d
G9520 Refract not +/- 1.0 w/in 90d
G9521 Er and ip hosp <2 in 12 mos
G9522 Er/ip hosp =/>2 in 12 mos
G9529 Minor blunt trauma w/head ct
G9530 Pt mbht hd ct ord ec prov
G9531 Pt doc
G9533 Indic for head ct not valid
G9537 Img hd clin trial
G9539 Intent pot remv time placemt
G9540 Pt alive 3 mos post proc
G9541 Filter rem 3 mon plmt
G9542 Doc reass appr remo filt 3ms
G9543 Doc 2x re-assess filt remov
G9544 No filt remov w/in 3mos plcm
G9547 Cys ren les or adren
G9548 No f/u rec image study
G9549 Doc med rsn for f/u imag
G9550 Imag rec
G9551 Imag no les
G9552 Inc thyr node <1.0 in rpt
G9553 Prior thyroid dise dx
G9554 Ct/cta/mri/a chst foll rec
G9555 Doc med rsn for follup image
G9556 Ct/cta/mri/a no follup imag
G9557 Ct/cta/mri/a no thyr <1.0cm
G9580 Door to punc time <2hrs
G9582 Door to punc time >2hr, nrg
G9593 Low pecarn ped head trauma
G9594 Pt mbht hd ct ord ec prov
G9595 Doc shnt/tum/coag
G9597 No low pecarn ped head traum
G9598 Aor ane 5.5-5.9 cm max diam
G9599 Aor ane >=6.0 cm max diam
G9603 Pt surv improv bsline tx
G9605 Surv score no improv w/tx
G9606 Intraop cyst eval trac inj