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

Long description

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

Short description

Doc funct and care plan

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, 2023 – No change

Nearby G codes

• G8509 – Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given
• 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
• G8540 – Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter
• G8541 – Functional outcome assessment using a standardized tool not documented, reason not given
• G8542 – Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required
• G8543 – Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given
• G8544 – I intend to report the coronary artery bypass graft (cabg) measures group
• G8545 – I intend to report the hepatitis c measures group
• G8547 – I intend to report the ischemic vascular disease (ivd) measures group
• G8548 – I intend to report the heart failure (hf) measures group