How To Use HCPCS Code G0045
HCPCS code G0045 describes the clinical follow-up and mRS (Modified Rankin Scale) score assessment at 90 days following endovascular stroke intervention. This code is used to identify the specific service provided and is essential for accurate medical coding and billing.
1. What is HCPCS G0045?
HCPCS code G0045 is a unique alphanumeric code that is used to identify a specific medical service or procedure. In this case, G0045 is used to represent the clinical follow-up and mRS score assessment at 90 days following endovascular stroke intervention.
2. Official Description
The official description of HCPCS code G0045 is “Clinical follow-up and mRS score assessed at 90 days following endovascular stroke intervention.” The short description for this code is “Mrs 90 days post stk.”
3. Procedure
- The healthcare provider will schedule a follow-up appointment with the patient 90 days after the endovascular stroke intervention.
- During the follow-up visit, the provider will assess the patient’s clinical status and perform a mRS score assessment.
- The mRS score is a scale used to measure the level of disability or dependence in daily activities following a stroke. It ranges from 0 (no symptoms) to 6 (death).
- The provider will document the findings of the clinical follow-up and mRS score assessment in the patient’s medical record.
4. When to use HCPCS code G0045
HCPCS code G0045 should be used when a healthcare provider performs a clinical follow-up and mRS score assessment at 90 days following an endovascular stroke intervention. It is important to use this code accurately to ensure proper reimbursement and documentation.
5. Billing Guidelines and Documentation Requirements
When billing for HCPCS code G0045, healthcare providers should ensure that the following documentation requirements are met:
- Documentation of the clinical follow-up visit, including the date and time of the visit.
- Documentation of the mRS score assessment, including the score obtained.
- Documentation of any relevant findings or observations during the follow-up visit.
Providers should also follow the billing guidelines set forth by the payer, ensuring that all necessary information is included on the claim form for accurate processing and reimbursement.
6. Historical Information and Code Maintenance
HCPCS code G0045 was added to the Healthcare Common Procedure Coding System on January 01, 2022. As of its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.
7. Medicare and Insurance Coverage
Medicare and other insurance providers may cover the clinical follow-up and mRS score assessment at 90 days following endovascular stroke intervention, as represented by HCPCS code G0045. However, it is important to verify coverage and reimbursement policies with the specific payer to ensure proper billing and reimbursement.
8. Examples
Here are five examples of scenarios in which HCPCS code G0045 should be billed:
- A patient undergoes endovascular stroke intervention and returns for a follow-up visit 90 days later. The provider assesses the patient’s clinical status and performs a mRS score assessment.
- Following an endovascular stroke intervention, a patient experiences complications and requires a clinical follow-up visit at the 90-day mark. The provider documents the mRS score assessment during the visit.
- A patient undergoes endovascular stroke intervention and is scheduled for a routine follow-up visit at the 90-day mark. The provider performs a mRS score assessment during the visit.
- After an endovascular stroke intervention, a patient experiences improvement in their condition and returns for a follow-up visit at the 90-day mark. The provider documents the mRS score assessment during the visit.
- Following an endovascular stroke intervention, a patient experiences worsening symptoms and requires a clinical follow-up visit at the 90-day mark. The provider performs a mRS score assessment to evaluate the patient’s condition.
