G9595 Doc shnt/tumor/coag
Also known as: PECARN exception, medical reason documented
Documentation of medical reason for deviation from PECARN head trauma rule (such as shunt placement, brain tumor, or coagulopathy).
In Plain Language
reason child needed special evaluation
Clinical Context
Pediatric emergency medicine quality measure documenting valid medical reasons for imaging decisions outside standard PECARN protocol.
RVU Information
CPT G9595 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 G9595?
CPT G9595 (Doc shnt/tumor/coag) is a G Codes code. Documentation of medical reason for deviation from PECARN head trauma rule (such as shunt placement, brain tumor, or coagulopathy).
Who uses CPT code G9595?
CPT G9595 is used by Pediatric Emergency Medicine, Neurology, Quality Reporting. Pediatric emergency medicine quality measure documenting valid medical reasons for imaging decisions outside standard PECARN protocol.
When is CPT G9595 used?
Pediatric emergency medicine quality measure documenting valid medical reasons for imaging decisions outside standard PECARN protocol.
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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.