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G9919 Screening nd pos nd prov of rec

G Codes

Also known as: positive screening with recommendation, screen positive with action

Healthcare quality measure documenting screening performed, positive finding identified, and provider recommendation given.

In Plain Language

test positive with treatment plan; abnormal finding with follow-up ordered

Clinical Context

Quality measure for screening programs documenting positive results with appropriate clinical recommendations.

RVU Information

CPT G9919 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

Preventive MedicinePrimary CareQuality Reporting

Frequently Asked Questions

What is CPT code G9919?

CPT G9919 (Screening nd pos nd prov of rec) is a G Codes code. Healthcare quality measure documenting screening performed, positive finding identified, and provider recommendation given.

Who uses CPT code G9919?

CPT G9919 is used by Preventive Medicine, Primary Care, Quality Reporting. Quality measure for screening programs documenting positive results with appropriate clinical recommendations.

When is CPT G9919 used?

Quality measure for screening programs documenting positive results with appropriate clinical recommendations.

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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.