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

Long description

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

Short description

Doc fcn/care plan w/30 days

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, 2024 – No change

Nearby G codes

• G8934 – Current or prior left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function
• G8935 – Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy
• 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
• G8943 – Ldl-c result not present or not within 12 months prior
• G8944 – Ajcc melanoma cancer stage 0 through iic melanoma
• G8946 – Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing lesion, papillary lesion, or any lesion with spindle cells)
• G8947 – One or more neuropsychiatric symptoms
• G8948 – No neuropsychiatric symptoms
• G8949 – Documentation of patient reason(s) for patient not receiving counseling for diet and physical activity (e.g., patient is not willing to discuss diet or exercise interventions to help control blood pressure, or the patient said he/she refused to make these changes)
• G8950 – Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented
• G8951 – Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible