G8935 – Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy

Long description

Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy

Short description

Rx ace or arb therapy

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, 2013

Last change

January 1, 2013 – No change

Nearby G codes

• G8927 – Adjuvant chemotherapy referred, prescribed or previously received for ajcc stage iii, colon cancer
• G8928 – Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)
• G8929 – Adjuvant chemotherapy not prescribed or previously received, reason not given
• G8930 – Assessment of depression severity at the initial evaluation
• G8931 – Assessment of depression severity not documented, reason not given
• G8932 – Suicide risk assessed at the initial evaluation
• G8933 – Suicide risk not assessed at the initial evaluation, reason not given
• G8934 – Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function
• G8936 – Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (eg, patient declined, other patient reasons)
• G8937 – Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given
• G8938 – Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible
• G8939 – Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter
• G8940 – Screening for depression documented as positive, a follow-up plan not completed, documented reason
• G8941 – Elder maltreatment screen documented as positive, follow-up plan not documented, documentation the patient is not eligible for follow-up plan at the time of the encounter
• G8942 – Functional outcome assessment using a standardized tool is documented within the previous 30 days and a care plan, based on identified deficiencies is documented within two days of the functional outcome assessment
• G8943 – Ldl-c result not present or not within 12 months prior