HCPCS codes / G / G8928
G8928
Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)
- Code type
- HCPCS Level II
- Coverage
- Carrier judgment
- BETOS category
- M5B
- Pricing indicator
- 00
- Effective date
- 20170101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.