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
Code effective Jan 01, 2024

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G8942 is a valid 2026 HCPCS code meaning 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 (Doc fcn/care plan w/30 days) for short. HCPCS G8942 has been effective since 01/01/2024 and applies to Medical care.

HCPCS Code Details - G8942
HCPCS Level II Code Section G - 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 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 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”

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

HCPCS Code G8942

HCPCS Code Details - G8942

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