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

Long description

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

Short description

Doc pain as nt perf, not elg

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, 2021 – No change

Termination date

December 31, 2020

Nearby G codes

• 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
• 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)
• 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
• 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)
• G8460 – Clinician documented that patient is not an eligible candidate for quantitative rna testing at week 12; patient not receiving antiviral treatment for hepatitis c
• G8461 – Patient receiving antiviral treatment for hepatitis c during the measurement period
• G8464 – Clinician documented that prostate cancer patient is not an eligible candidate for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk of recurrence not determined
• G8465 – High or very high risk of recurrence of prostate cancer