G8430 – Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)

Long description

Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)

Short description

Doc med rsn no medrec

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5D Specialist - other

Added

January 1, 2008

Last change

January 1, 2026 – No change

Nearby G codes

• G8417 – Bmi is documented above normal parameters and a follow-up plan is documented
• G8418 – Bmi is documented below normal parameters and a follow-up plan is documented
• G8419 – Bmi documented outside normal parameters, no follow-up plan documented, no reason given
• G8420 – Bmi is documented within normal parameters and no follow-up plan is required
• G8421 – Bmi not documented and no reason is given
• G8422 – Bmi not documented, documentation the patient is not eligible for bmi calculation
• G8427 – Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications
• G8428 – Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given
• G8431 – Screening for depression is documented as being positive and a follow-up plan is documented
• G8432 – Depression screening not documented, reason not given
• G8433 – Screening for depression not completed, documented patient or medical reason
• G8442 – Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter
• G8450 – Beta-blocker therapy prescribed
• G8451 – Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)
• G8452 – Beta-blocker therapy not prescribed
• G8458 – Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior to the reporting period, patient declines, patient not a candidate for antiviral treatment)