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G9395 Ini phq9 >9 no remiss >=5

G Codes

Also known as: persistent depression, PHQ-9 no improvement

Initial Patient Health Questionnaire-9 score greater than 9 with no remission at follow-up assessment, score greater than or equal to 5.

In Plain Language

depression didn't improve; depression screening shows little improvement

Clinical Context

Quality measure tracking depression management when initial PHQ-9 score indicates moderate-to-severe depression but follow-up assessment shows persistent depression (score >= 5), indicating potential need for treatment adjustment.

RVU Information

CPT G9395 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.

How This Code Compares

This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.

Specialties

PsychiatryPrimary CareBehavioral Health

Frequently Asked Questions

What is CPT code G9395?

CPT G9395 (Ini phq9 >9 no remiss >=5) is a G Codes code. Initial Patient Health Questionnaire-9 score greater than 9 with no remission at follow-up assessment, score greater than or equal to 5.

Who uses CPT code G9395?

CPT G9395 is used by Psychiatry, Primary Care, Behavioral Health. Quality measure tracking depression management when initial PHQ-9 score indicates moderate-to-severe depression but follow-up assessment shows persistent depression (score >= 5), indicating potential need for treatment adjustment.

When is CPT G9395 used?

Quality measure tracking depression management when initial PHQ-9 score indicates moderate-to-severe depression but follow-up assessment shows persistent depression (score >= 5), indicating potential need for treatment adjustment.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.