G9838 Pt met dis at diagnosis
Also known as: metastatic cancer at diagnosis, stage IV cancer at presentation
Healthcare quality measure documenting patient with metastatic cancer identified at diagnosis.
In Plain Language
cancer spread to other parts of body; advanced cancer at initial diagnosis
Clinical Context
Quality measure identifying cancer patients presenting with distant metastases at the time of initial diagnosis, indicating advanced disease requiring systemic therapy.
RVU Information
CPT G9838 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 G9838?
CPT G9838 (Pt met dis at diagnosis) is a G Codes code. Healthcare quality measure documenting patient with metastatic cancer identified at diagnosis.
Who uses CPT code G9838?
CPT G9838 is used by Oncology, Hematology/Oncology, Quality Reporting. Quality measure identifying cancer patients presenting with distant metastases at the time of initial diagnosis, indicating advanced disease requiring systemic therapy.
When is CPT G9838 used?
Quality measure identifying cancer patients presenting with distant metastases at the time of initial diagnosis, indicating advanced disease requiring systemic therapy.
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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.