G9431 Patho report no pt ctg
Also known as: patient category not documented, incomplete skin lesion pathology
Pathology report for cutaneous lesion does not include patient category without reason.
In Plain Language
skin pathology report missing category; lesion not classified
Clinical Context
Quality metric exception when cutaneous lesion pathology report fails to document patient category without documented clinical justification, indicating quality gap.
RVU Information
CPT G9431 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 G9431?
CPT G9431 (Patho report no pt ctg) is a G Codes code. Pathology report for cutaneous lesion does not include patient category without reason.
Who uses CPT code G9431?
CPT G9431 is used by Dermatology, Pathology, Oncology. Quality metric exception when cutaneous lesion pathology report fails to document patient category without documented clinical justification, indicating quality gap.
When is CPT G9431 used?
Quality metric exception when cutaneous lesion pathology report fails to document patient category without documented clinical justification, indicating quality gap.
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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.