(Medicare Claims Processing Manual)

Colorectal Cancer Screening   G0104  Colorectal cancer screening;  flexible sigmoidoscopy   A   WAIVED   G0105  Colorectal cancer screening;  colonoscopy on individual at high risk   WAIVED    G0106  Colorectal cancer screening;  alternative  to G0104, screening sigmoidoscopy,  barium enema   *Not Rated  Coins. Applies  & Ded. is waived   G0120  Colorectal cancer screening;  alternative to G0105, screening colonoscopy,  barium enema.  Coins. Applies  & Ded. is waived      Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible    G0121  Colorectal cancer screening;  colonoscopy on individual not meeting criteria for high risk   A   WAIVED   82270  Blood, occult, by peroxidase activity (e.g., guaiac),  qualitative; feces, consecutive   WAIVED   G0328  Colorectal cancer screening;  fecal  occult blood test, immunoassay, 1 -3 simultaneous    WAIVED     81528  Oncology (colorectal) screening,  quantitative real -time target and signal  amplification  of 10 DNA markers     WAIVED     G0327  Colorectal cancer screening;  blood- based biomarker Colon ca scrn;bld -bsd biomrk    WAIVED    G0102  Prostate cancer screening;  digital rectal examination   D  Not Waived  Prostate Cancer Screening   G0103  Prostate  cancer  screening; prostate specific antigen test (PSA)     WAIVED   Glaucoma Screening   G0117  Glaucoma  screening  for high risk patients furnished by an optometrist or ophthalmologist   I  Not Waived   G0118  Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist    Not Waived    Influenza  Virus  Vaccine  For the Medicare -covered  codes  for the influenza vaccines approved by FDA for current influenza vaccine season, please go  to: https:// www.cms.gov/Medicare/Me  dicare -Fee-for-Service-Part-B - Drugs/McrPartBDrugAvgSalesPrice/Va  ccinesPricing.html    90630  Influenza virus vaccine, quadrivalent  (IIV4),  split virus, preservative free, for intradermal use   B  WAIVED     Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible    90653  Influenza  virus  vaccine, inactivated, subunit, adjuvanted, for intramuscular use    WAIVED   90654  Influenza virus vaccine, split virus, preservative  free, for intradermal use, for adults ages 18 -64  WAIVED    90655  Influenza virus vaccine, split virus, preservative free, when administered to children 6 -35 months of age, for intramuscular use   WAIVED   90656  Influenza virus vaccine, split virus, preservative free, when  administered  to individuals 3 years and older, for intramuscular use  WAIVED   90657  Influenza  virus  vaccine,  split virus, when administered to children 6 - 35 months of age, for intramuscular use   WAIVED      90658  Influenza virus vaccine, trivalent  (IIV3),  split virus,  0.5 mL dosage,  for intramuscular use    WAIVED  90660  Influenza  virus  vaccine, live, for intranasal use  WAIVED    90661  Influenza virus vaccine, derived  from  cell cultures, subunit, preservative and antibiotic free, for intramuscular use    WAIVED   Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible    90662  Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased  antigen  content, for intramuscular use    WAIVED   90672  Influenza virus vaccine, live, quadrivalent,  for intranasal use   WAIVED    90673  Influenza virus vaccine, trivalent, derived from recombinant  DNA (RIV3), hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use    WAIVED   90674  Influenza virus vaccine, quadrivalent (ccIIV4), derived  from  cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use  WAIVED       90682  Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA,  hemagglutinin  (HA) protein only, preservative and antibiotic free, for intramuscular use     WAIVED   90685  Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered  to children  6- 35 months of age, for intramuscular use   WAIVED   Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible     90686  Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered  to individuals  3 years of age and older, for intramuscular use    WAIVED    90687 Influenza virus vaccine, quadrivalent, split virus, when administered to children  6-35 months  of age, for intramuscular use    WAIVED    90688 Influenza virus vaccine, quadrivalent, split virus, when administered to individuals 3 years of age  and older, for intramuscular use    WAIVED    90694  Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage,  for intramuscular  use   WAIVED    90756  Influenza virus vaccine, quadrivalent (ccIIV4), derived  from  cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use    WAIVED   G0008  Administration  of influenza virus vaccine   WAIVED                Pneumococcal Vaccine   90670  Pneumococcal  conjugate  vaccine,  13 valent,  for intramuscular use          B  WAIVED   90671  Pneumococcal conjugate vaccine,  15 valent  (PCV15), for intramuscular use   WAIVED   90677  Pneumococcal  conjugate vaccine,  20 valent  (PCV20),  for intramuscular  use  WAIVED    90732  Pneumococcal  polysaccharide vaccine, 23 -valent, adult or immunosuppressed patient dosage,  when  administered  to individuals 2 years or older, for subcutaneous or intramuscular use     WAIVED   G0009  Administration  of pneumococcal vaccine   WAIVED   Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible   Hepatitis B Vaccine   90739  Hepatitis  B vaccine, adult  dosage  (2 dose schedule), for intramuscular use   A   WAIVED    90740  Hepatitis B vaccine, dialysis or immunosuppressed patient  dosage  (3 dose schedule), for intramuscular use     WAIVED   90743  Hepatitis  B vaccine, adolescent (2 dose schedule), for intramuscular use    WAIVED   90744  Hepatitis B vaccine, pediatric/adolescent dosage  (3 dose schedule), for intramuscular use    WAIVED    90746  Hepatitis  B vaccine, adult dosage, for intramuscular use    WAIVED      90747  Hepatitis B vaccine, dialysis or immunosuppressed patient  dosage  (4 dose schedule), for intramuscular use      WAIVED   90759  Hepatitis B vaccine (HepB),  3-antigen  (S, Pre-S1, Pre -S2), 10  mcg dosage, 3 dose schedule, for intramuscular use    WAIVED   G0010  Administration of Hepatitis  B vaccine   A WAIVED  Hepatitis  C Virus Screening   G0472  Screening  for Hepatitis C antibody   B  WAIVED     Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible   HIV Screening   G0432  Infectious  agent  antigen detection by enzyme immunoassay (EIA) technique,  qualitative  or semi-qualitative, multiple - step method, HIV-1 or HIV -2, screening   A     WAIVED   G0433  Infectious agent antigen detection  by enzyme-  linked immunosorbent assay (ELISA) technique, antibody, HIV -1 or HIV -2, screening    WAIVED    G0435  Infectious agent antigen detection  by rapid  antibody test of oral mucosa transudate, HIV -1 or HIV- 2 , screening     WAIVED   Smoking Cessation for services furnished prior to October 1,  2016   G0436  Smoking and tobacco cessation  counseling visit for the asymptomatic patient; intermediate, greater  than 3 minutes,  up to 10 minutes   A    WAIVED   G0437  Smoking and tobacco cessation  counseling visit for the asymptomatic patient intensive, greater than 10 minutes    WAIVED  Smoking Cessation  for services furnished on or after October 1,  2016   99406  Smoking and tobacco cessation  counseling visit for the asymptomatic patient; intermediate, greater  than 3 minutes,  up to 10 minutes   A    WAIVED   Service  CPT/ HCPCS   Long  Descriptor  USPSTF  Rating  Coins./ Deductible    99407  Smoking and tobacco cessation  counseling visit for the asymptomatic patient intensive, greater than 10 minutes      WAIVED   Annual Wellness  Visit   G0438  Annual  wellness  visit, including PPPS, first visit  *Not Rated   WAIVED   G0439  Annual  wellness  visit, including PPPS, subsequent visit   WAIVED   Intensive Behavioral   G0447  Face -to-Face Behavioral Counseling for Obesity, 15 minutes   B  WAIVED  Therapy  for Obesity   G0473  Face -to-face behavioral counseling for obesity, group  (2-10), 30 minute(s)     Lung  Cancer Screening   G0296  Counseling  visit to discuss need for lung cancer screening (LDCT) using low dose CT scan (service is for eligibility determination and shared decision making)   B      WAIVED   G0297  Low dose CT scan (LDCT) for lung cancer screening  COVID -19 Vaccine   See link https://www.cms.g ov/medi care/medicare -part-b-drug-  average -sales -price/covid - 19-vaccines -and- monoclonal -antibodies       WAIVED