G8694 – Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd

Long description

Current or prior left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd

Short description

Lvef <=40%

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

M5B Specialist - psychiatry

Added

January 1, 2012

Last change

January 1, 2025 – No change

Nearby G codes

• G8670 – Residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge, reason not given
• G8671 – Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)
• G8672 – Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment successfully calculated and the score was less than zero (< 0)
• G8673 – Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate
• G8674 – Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs or other general orthopedic impairment not measured because the patient did not complete the general orthopedic fs prom at initial evaluation and/or near discharge, reason not given
• G8682 – Lvf testing documented as being performed prior to discharge or in the previous 12 months
• G8683 – Lvf testing not performed prior to discharge or in the previous 12 months for a medical or patient documented reason
• G8685 – Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given
• G8696 – Antithrombotic therapy prescribed at discharge
• G8697 – Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))
• G8698 – Antithrombotic therapy was not prescribed at discharge, reason not given
• G8699 – Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge
• G8700 – Rehabilitation services (occupational, physical or speech) not indicated at or prior to discharge
• G8701 – Rehabilitation services were not ordered, reason not otherwise specified
• G8702 – Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
• G8703 – Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively