G9512 Indiv pdc > 0.8
Also known as: good medication adherence, high compliance
Documentation that patient's individual Proportion of Days Covered (PDC) for medication adherence is greater than 0.8 (80 percent or higher).
In Plain Language
patient taking medicine as prescribed more than 80%
Clinical Context
Medication adherence quality measure indicating patient is taking chronic medications consistently as prescribed.
RVU Information
CPT G9512 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 G9512?
CPT G9512 (Indiv pdc > 0.8) is a G Codes code. Documentation that patient's individual Proportion of Days Covered (PDC) for medication adherence is greater than 0.8 (80 percent or higher).
Who uses CPT code G9512?
CPT G9512 is used by Primary Care, Pharmacy, Chronic Disease Management. Medication adherence quality measure indicating patient is taking chronic medications consistently as prescribed.
When is CPT G9512 used?
Medication adherence quality measure indicating patient is taking chronic medications consistently as prescribed.
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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.