G8509 – Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given

Long description

Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given

Short description

Pos pain assess no f/u doc

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, 2009

Last change

January 1, 2021 – No change

Termination date

December 31, 2020

Nearby G codes

• G8496 – All quality actions for the applicable measures in the preventive care measures group have been performed for this patient
• G8497 – All quality actions for the applicable measures in the coronary artery bypass graft (cabg) measures group have been performed for this patient
• G8498 – All quality actions for the applicable measures in the coronary artery disease (cad) measures group have been performed for this patient
• G8499 – All quality actions for the applicable measures in the rheumatoid arthritis (ra) measures group have been performed for this patient
• G8500 – All quality actions for the applicable measures in the hiv/aids measures group have been performed for this patient
• G8501 – All quality actions for the applicable measures in the perioperative care measures group have been performed for this patient
• G8502 – All quality actions for the applicable measures in the back pain measures group have been performed for this patient
• G8506 – Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
• G8510 – Screening for depression is documented as negative, a follow-up plan is not required
• G8511 – Screening for depression documented as positive, follow-up plan not documented, reason not given
• G8530 – Autogenous av fistula received
• G8531 – Clinician documented that patient was not an eligible candidate for autogenous av fistula
• G8532 – Clinician documented that patient received vascular access other than autogenous av fistula, reason not given
• G8535 – Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status
• G8536 – No documentation of an elder maltreatment screen, reason not given
• G8539 – Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment