HCPCS Code 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

Procedures/Professional Services (Temporary Codes)

G8942 is a valid 2024 HCPCS code for 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 or just “Doc fcn/care plan w/30 days” for short, used in Medical care.

HCPCS Code Details - G8942

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8942
Description

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

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M5B - Specialist - psychiatry
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2013
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment

See also

  • HCPCS 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

  • HCPCS G8539 · Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment

  • HCPCS G8540 · Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter

  • HCPCS G8541 · Functional outcome assessment using a standardized tool not documented, reason not given

  • HCPCS G8542 · Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required

  • HCPCS G9227 · Functional outcome assessment documented, care plan not documented, documentation the patient is not eligible for a care plan at the time of the encounter

  • HCPCS G8943 · Ldl-c result not present or not within 12 months prior

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”