G8452 - HCPCS Code for Beta-blocker therapy not prescribed

HCPCS Code Details - G8452
HCPCS Level II Code Procedures/Professional Services (Temporary Codes) Search
HCPCS Code	`G8452`
Description	Long description: Beta-blocker therapy not prescribed Short description: Pt w/abn lvef b-bloc no rx
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	`M5D` - Specialist - other
HCPCS Action code	`N` - No maintenance for this code
Type of service	`1` - Medical care
Effective date	Effective Jan 01, 2013
Date added	Added Jan 01, 2008
HCPCS Coding Procedures

HCPCS 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)
HCPCS G9188 · Beta-blocker therapy not prescribed, reason not given
HCPCS G8458 · Clinician documented that patient is not an eligible candidate for genotype testing; patient not receiving antiviral treatment for hepatitis c during the measurement period (e.g. genotype test done prior to the reporting period, patient declines, patient not a candidate for antiviral treatment)

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 Code G8452