G9421 Lung cx biopsy report no doc class
Also known as: histology not documented, incomplete cancer pathology
Lung cancer biopsy report does not document histologic classification.
In Plain Language
pathology report missing cancer cell type; tissue type not identified
Clinical Context
Quality metric exception when lung cancer biopsy is completed but histologic type is not documented in pathology report, limiting treatment planning capability.
RVU Information
CPT G9421 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
Frequently Asked Questions
What is CPT code G9421?
CPT G9421 (Lung cx biopsy report no doc class) is a G Codes code. Lung cancer biopsy report does not document histologic classification.
Who uses CPT code G9421?
CPT G9421 is used by Pathology, Oncology, Pulmonology. Quality metric exception when lung cancer biopsy is completed but histologic type is not documented in pathology report, limiting treatment planning capability.
When is CPT G9421 used?
Quality metric exception when lung cancer biopsy is completed but histologic type is not documented in pathology report, limiting treatment planning capability.
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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.