HCPCS Code Details - G8694

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8694
Description

Long description:
Left ventricular ejection fraction (lvef) < 40% or documentation of moderate or severe lvsd

Short description:
Lvef <40%

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 C - Change in long description of procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2021
Date added Added Jan 01, 2012
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 G8685 · Lvf testing not documented as being performed prior to discharge or in the previous 12 months, reason not given

  • HCPCS G8395 · Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function

  • HCPCS G8396 · Left ventricular ejection fraction (lvef) not performed or documented

  • HCPCS G8738 · Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function

  • HCPCS G8739 · Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function

  • HCPCS G8740 · Left ventricular ejection fraction (lvef) not performed or assessed, reason not given

  • HCPCS G8923 · Left ventricular ejection fraction (lvef) < 40% or documentation of moderately or severely depressed left ventricular systolic function

  • HCPCS G8934 · Left ventricular ejection fraction (lvef) <40% or documentation of moderately or severely depressed left ventricular systolic function

  • HCPCS G8696 · Antithrombotic therapy prescribed at discharge


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”