G9968 Pt refrd 2 pvdr/spclst in pp
Also known as: patient referred to specialist, referral made to provider
Healthcare quality measure documenting patient referred to provider or specialist in applicable field.
In Plain Language
sent to doctor specialist; referral to another physician
Clinical Context
Quality measure documenting appropriate referral patterns to specialists for specialty care.
RVU Information
CPT G9968 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 G9968?
CPT G9968 (Pt refrd 2 pvdr/spclst in pp) is a G Codes code. Healthcare quality measure documenting patient referred to provider or specialist in applicable field.
Who uses CPT code G9968?
CPT G9968 is used by Primary Care, Care Coordination, Quality Reporting. Quality measure documenting appropriate referral patterns to specialists for specialty care.
When is CPT G9968 used?
Quality measure documenting appropriate referral patterns to specialists for specialty care.
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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.