HCPCS Code Details - G8938

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G8938
Description

Long description:
Bmi is documented as being outside of normal limits, follow-up plan is not documented, documentation the patient is not eligible

Short description:
Bmi doc onl fup nt doc

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 S - Change in short description of procedure code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2013
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 G8937 · Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy, reason not given

  • HCPCS G8417 · Bmi is documented above normal parameters and a follow-up plan is documented

  • HCPCS G8418 · Bmi is documented below normal parameters and a follow-up plan is documented

  • HCPCS G8420 · Bmi is documented within normal parameters and no follow-up plan is required

  • HCPCS G9716 · Bmi is documented as being outside of normal limits, follow-up plan is not completed for documented reason

  • HCPCS G8939 · Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible 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”