2025 HCPCS Code G9536
Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)
TAGS: patients mental funduscopic patient neurological young advanced recent neurologic imaging abnormal study pulsations pressure signs altered documentation brain increased meningeal intracranial ordering absent severe venous immunocompromised headache medical focal onset coexistence unexplainedNotice | HCPCS G9536 terminated on December 31, 2018. |
Short Description | Doc med reas adv brain image |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | January 01, 2016 |
HCPCS Action Effective Date | January 01, 2019 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Type Of Service Code | 1 - Medical care |
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 Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- G0103 - Psa screening
- G0104 - Ca screen;flexi sigmoidscope
- G0105 - Colorectal scrn; hi risk ind
- G0106 - Colon ca screen;barium enema
- G0108 - Diab manage trn per indiv
- G0109 - Diab manage trn ind/group
- G0117 - Glaucoma scrn hgh risk direc
- G0118 - Glaucoma scrn hgh risk direc
- G0120 - Colon ca scrn; barium enema
- G0121 - Colon ca scrn not hi rsk ind
- G0122 - Colon ca scrn; barium enema
- G0123 - Screen cerv/vag thin layer
- G0124 - Screen c/v thin layer by md
- G0127 - Trim nail(s)
- G0128 - Corf skilled nursing service
- G0129 - Php/iop ot service
- G0130 - Single energy x-ray study
- G0136 - Adm of soc dtr assess 5-15 m
- G0137 - Inten outpt svs,min 9 pr 7 d
- G0138 - Iv cipaglucosidase alfa-atga