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HCPCS Range Clinician Documentation and Management Services

• 1 Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease) ( G2173 )

• 2 Uri episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date ( G2174 )

• 3 Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung disease) ( G2175 )

• 4 Outpatient, ed, or observation visits that result in an inpatient admission ( G2176 )

• 5 Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date ( G2177 )

• 6 Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation ( G2178 )

• 7 Clinician documented that patient had medical reason for not performing lower extremity neurological exam ( G2179 )

• 8 Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee ( G2180 )

• 9 Bmi not documented due to medical reason or patient refusal of height or weight measurement ( G2181 )

• 10 Patient receiving first-time biologic and/or immune response modifier therapy ( G2182 )

• 11 Documentation patient unable to communicate and informant not available ( G2183 )

• 12 Patient does not have a caregiver ( G2184 )

• 13 Documentation caregiver is trained and certified in dementia care ( G2185 )

• 14 Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed ( G2186 )

• 15 Patients with clinical indications for imaging of the head: head trauma ( G2187 )

• 16 Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age ( G2188 )

• 17 Patients with clinical indications for imaging of the head: abnormal neurologic exam ( G2189 )

• 18 Patients with clinical indications for imaging of the head: headache radiating to the neck ( G2190 )

• 19 Patients with clinical indications for imaging of the head: positional headaches ( G2191 )

• 20 Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age ( G2192 )

• 21 Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age) ( G2193 )

• 22 Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior ( G2194 )

• 23 Patients with clinical indications for imaging of the head: occipital headache in children ( G2195 )

• 24 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method ( G2196 )

• 25 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user ( G2197 )

• 26 Patient not screened for unhealthy alcohol use using a systematic screening method ( G2199 )

• 27 Patient identified as an unhealthy alcohol user received brief counseling ( G2200 )

• 28 Patient did not receive brief counseling if identified as an unhealthy alcohol user ( G2202 )

• 29 Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period ( G2204 )

• 30 Patients with pregnancy during adjuvant treatment course ( G2205 )

• 31 Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy ( G2206 )

• 32 Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course) ( G2207 )

• 33 Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy ( G2208 )

• 34 Patient refused to participate ( G2209 )

• 35 Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge, reason not given ( G2210 )