HCPCS Code 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
Code effective Jan 01, 2023

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8539 is a valid 2026 HCPCS code meaning 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 or (Doc funct and care plan) for short. HCPCS G8539 has been effective since 01/01/2023 and applies to Medical care.

HCPCS Code Details - G8539

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G8539
Description

Long description:
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

Short description:
Doc funct and care plan

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 M5D - Specialist - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2009

See also

  • HCPCS G8536 · No documentation of an elder maltreatment screen, reason not given

  • 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 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

  • 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

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”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.