HCPCS Code Details - G8543

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8543

Long description:
Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment, reason not given

Short description:
Cur funct asses; no care pln

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, 2023
Date added Added Jan 01, 2009
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 G8542 · Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required

  • HCPCS G8430 · 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)

  • HCPCS G9518 · Documentation of active injection drug use

  • HCPCS G9543 · Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement

  • HCPCS G9609 · Documentation of an order for anti-platelet agents

  • HCPCS G9820 · Documentation of a chlamydia screening test with proper follow-up

  • HCPCS G9917 · Documentation of advanced stage dementia and caregiver knowledge is limited

  • HCPCS M1189 · Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed

  • HCPCS M1190 · Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)

  • HCPCS G8544 · I intend to report the coronary artery bypass graft (cabg) measures group

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”