How To Use HCPCS Code G8427

HCPCS code G8427 describes the documentation of a healthcare provider obtaining, updating, or reviewing a patient’s current medications. This code is used to indicate that the eligible clinician has attested to documenting this information in the patient’s medical record. In this article, we will explore the details of HCPCS code G8427, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G8427?

HCPCS code G8427 is used to identify the action of an eligible clinician documenting in the medical record that they obtained, updated, or reviewed the patient’s current medications. It signifies that the healthcare provider has taken the necessary steps to ensure accurate and up-to-date information regarding the patient’s medications is available for future reference.

2. Official Description

The official description of HCPCS code G8427 is “Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient’s current medications.” The short description for this code is “Docrev cur meds by elig clin.”

3. Procedure

1. The eligible clinician reviews the patient’s medical record.
2. They obtain the necessary information regarding the patient’s current medications.
3. The clinician updates the medical record with the obtained medication information.
4. If necessary, the clinician reviews the patient’s medications with the patient to ensure accuracy.
5. The updated medication information is documented in the medical record.

4. When to use HCPCS code G8427

HCPCS code G8427 should be used when an eligible clinician has obtained, updated, or reviewed the patient’s current medications and has documented this information in the medical record. It is important to use this code when the specific action described in the code has been performed to ensure accurate coding and billing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8427, healthcare providers need to ensure that the documentation in the medical record clearly indicates that the eligible clinician has obtained, updated, or reviewed the patient’s current medications. This documentation should be detailed and include the date, time, and any relevant information regarding the medications.

6. Historical Information and Code Maintenance

HCPCS code G8427 was added to the Healthcare Common Procedure Coding System on January 01, 2008. As of the effective date of January 01, 2017, 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

HCPCS code G8427 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. This indicates that the service is bundled or not covered separately. The multiple pricing indicator code is 9, which means it is not applicable as HCPCS G8427 is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G8427 should be billed:

1. A primary care physician reviews a patient’s medical record and updates the medication list with the patient’s current medications.
2. An oncologist obtains information about a patient’s newly prescribed chemotherapy medications and documents it in the medical record.
3. A pharmacist reviews a patient’s medication history and updates the record with any changes or additions.
4. A nurse practitioner reviews a patient’s medication list during a routine check-up and updates the record with any changes made.
5. A psychiatrist reviews a patient’s current psychiatric medications and documents any adjustments or changes made during a therapy session.