G8838 – Patient not discharged to home by post-operative day #2 following cea

Long description

Patient not discharged to home by post-operative day #2 following cea

Short description

Not disch home by day #2

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, 2013 – No change

Nearby G codes

• G8815 – Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
• G8816 – Statin medication prescribed at discharge
• G8817 – Statin therapy not prescribed at discharge, reason not given
• G8818 – Patient discharge to home no later than post-operative day #7
• G8825 – Patient not discharged to home by post-operative day #7
• G8826 – Patient discharged to home no later than post-operative day #2 following evar
• G8833 – Patient not discharged to home by post-operative day #2 following evar
• G8834 – Patient discharged to home no later than post-operative day #2 following cea
• G8839 – Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness
• G8840 – Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)
• G8841 – Sleep apnea symptoms not assessed, reason not given
• G8842 – Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea
• G8843 – Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months after initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients previously diagnosed with osa and severity assessed by another provider, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense)
• G8844 – Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory event index (rei) not documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea, reason not given
• G8845 – Positive airway pressure therapy prescribed
• G8846 – Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)