Showing codes G8128 (Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure) — G8451 (Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons))

G8128 - Pt inelig for antidepres med
Long description: Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure
Code added date: 20060101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8395 - Lvef>=40% doc normal or mild
Long description: Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8396 - Lvef not performed
Long description: Left ventricular ejection fraction (lvef) not performed or documented
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8397 - Dil macula/fundus exam/w doc
Long description: Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8398 - Dil macular/fundus not perfo
Long description: Dilated macular or fundus exam not performed
Code added date: 20080101.
Code effective date: 20210101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8399 - Pt w/dxa results document
Long description: Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed
Code added date: 20080101.
Code effective date: 20160101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8400 - Pt w/dxa no results doc
Long description: Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given
Code added date: 20080101.
Code effective date: 20160101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8401 - Pt inelig osteo screen measu
Long description: Clinician documented that patient was not an eligible candidate for screening
Code added date: 20080101.
Code effective date: 20170101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8404 - Low extemity neur exam docum
Long description: Lower extremity neurological exam performed and documented
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8405 - Low extemity neur not perfor
Long description: Lower extremity neurological exam not performed
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8406 - Pt inelig lower extrem neuro
Long description: Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure
Code added date: 20080101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8410 - Eval on foot documented
Long description: Footwear evaluation performed and documented
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8415 - Eval on foot not performed
Long description: Footwear evaluation was not performed
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8416 - Pt inelig footwear evaluatio
Long description: Clinician documented that patient was not an eligible candidate for footwear evaluation measure
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8417 - Calc bmi abv up param f/u
Long description: Bmi is documented above normal parameters and a follow-up plan is documented
Code added date: 20080101.
Code effective date: 20140101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8418 - Calc bmi blw low param f/u
Long description: Bmi is documented below normal parameters and a follow-up plan is documented
Code added date: 20080101.
Code effective date: 20140101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8419 - Calc bmi out nrm param nof/u
Long description: Bmi documented outside normal parameters, no follow-up plan documented, no reason given
Code added date: 20080101.
Code effective date: 20140101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8420 - Calc bmi norm parameters
Long description: Bmi is documented within normal parameters and no follow-up plan is required
Code added date: 20080101.
Code effective date: 20140101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8421 - Bmi not calculated
Long description: Bmi not documented and no reason is given
Code added date: 20080101.
Code effective date: 20140101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8422 - Pt inelig bmi calculation
Long description: Bmi not documented, documentation the patient is not eligible for bmi calculation
Code added date: 20080101.
Code effective date: 20220101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8427 - Docrev cur meds by elig clin
Long description: Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications
Code added date: 20080101.
Code effective date: 20170101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8428 - Cur meds not document
Long description: Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given
Code added date: 20080101.
Code effective date: 20170101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8430 - Doc med rsn no medrec
Long description: Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an urgent or emergent medical situation)
Code added date: 20080101.
Code effective date: 20210101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8431 - Pos clin depres scrn f/u doc
Long description: Screening for depression is documented as being positive and a follow-up plan is documented
Code added date: 20080101.
Code effective date: 20170101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8432 - Dep scr not doc, rng
Long description: Depression screening not documented, reason not given
Code added date: 20080101.
Code effective date: 20170101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8433 - Scr for dep not cpt doc rsn
Long description: Screening for depression not completed, documented patient or medical reason
Code added date: 20080101.
Code effective date: 20220101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8442 - Doc pain as nt perf, not elg
Long description: Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter
Code added date: 20080101.
Code effective date: 20210101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8447 - Pt vis doc use ehr cer atcb
Long description: Patient encounter was documented using an ehr system that has been certified by an authorized testing and certification body (atcb)
Code added date: 20080101.
Code effective date: 20130101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8448 - Pt vis doc w/pqri qual ehr
Long description: Patient encounter was documented using a pqri qualified ehr or other acceptable systems
Code added date: 20080101.
Code effective date: 20130101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8450 - Beta-bloc rx pt w/abn lvef
Long description: Beta-blocker therapy prescribed
Code added date: 20080101.
Code effective date: 20130101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G8451 - Pt w/abn lvef inelig b-bloc
Long description: Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g., low blood pressure, fluid overload, asthma, patients recently treated with an intravenous positive inotropic agent, allergy, intolerance, other medical reasons, patient declined, other patient reasons)
Code added date: 20080101.
Code effective date: 20230101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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