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

Long description

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

Short description

Foa not doc as being perf

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, 2018 – No change

Nearby G codes

• 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
• 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
• G8549 – All quality actions for the applicable measures in the hepatitis c measures group have been performed for this patient