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G9396 Ini phq9 >9 not assess

G Codes

Also known as: depression not reassessed, PHQ-9 follow-up not documented

Initial Patient Health Questionnaire-9 score greater than 9 not assessed at follow-up.

In Plain Language

depression score not checked again; no follow-up depression screening

Clinical Context

Quality metric exception when patient with initial PHQ-9 score greater than 9 does not have documented follow-up assessment, missing opportunity to track treatment response.

RVU Information

CPT G9396 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 G9396?

CPT G9396 (Ini phq9 >9 not assess) is a G Codes code. Initial Patient Health Questionnaire-9 score greater than 9 not assessed at follow-up.

Who uses CPT code G9396?

CPT G9396 is used by Psychiatry, Primary Care, Behavioral Health. Quality metric exception when patient with initial PHQ-9 score greater than 9 does not have documented follow-up assessment, missing opportunity to track treatment response.

When is CPT G9396 used?

Quality metric exception when patient with initial PHQ-9 score greater than 9 does not have documented follow-up assessment, missing opportunity to track treatment response.

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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.