G8951 – Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible

Long description

Pre-hypertensive or hypertensive blood pressure reading documented, indicated follow-up not documented, documentation the patient is not eligible

Short description

Pre-htn/htn doc, no pt f/u

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, 2016 – No change

Termination date

December 31, 2015

Nearby G codes

• 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
• 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
• G8952 – Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given
• G8953 – All quality actions for the applicable measures in the oncology measures group have been performed for this patient
• G8955 – Most recent assessment of adequacy of volume management documented
• G8956 – Patient receiving maintenance hemodialysis in an outpatient dialysis facility
• G8957 – Patient not receiving maintenance hemodialysis in an outpatient dialysis facility
• G8958 – Assessment of adequacy of volume management not documented, reason not given
• G8959 – Clinician treating major depressive disorder communicates to clinician treating comorbid condition
• G8960 – Clinician treating major depressive disorder did not communicate to clinician treating comorbid condition, reason not given