How To Use HCPCS Code G8484

HCPCS code G8484 describes the situation where influenza immunization was not administered, and the reason for not administering the vaccine is not provided. This code is used to indicate that the patient did not receive the flu immunization, but the specific reason for not administering the vaccine is unknown.

1. What is HCPCS G8484?

HCPCS code G8484 is a specific code used in medical coding to identify cases where the influenza immunization was not administered, and the reason for not administering the vaccine is not provided. It is important to accurately assign this code to ensure proper documentation and billing for the services provided.

2. Official Description

The official description for HCPCS code G8484 is “Influenza immunization was not administered, reason not given.” The short description for this code is “Flu immunize no admin.” This description clearly indicates that the patient did not receive the influenza immunization, and the reason for not administering the vaccine is not specified.

3. Procedure

1. The healthcare provider should review the patient’s medical records to determine if the influenza immunization was administered.
2. If the immunization was not administered, the provider should document the reason for not administering the vaccine, if known.
3. If the reason for not administering the vaccine is not known, HCPCS code G8484 should be assigned to indicate that the influenza immunization was not administered, and the reason is not provided.

4. When to use HCPCS code G8484

HCPCS code G8484 should be used when the patient did not receive the influenza immunization, and the reason for not administering the vaccine is not known or not documented. It is important to accurately assign this code to reflect the actual services provided and to ensure proper documentation and billing.

5. Billing Guidelines and Documentation Requirements

When billing for services related to HCPCS code G8484, healthcare providers should ensure that the medical records clearly document the reason for not administering the influenza immunization, if known. If the reason is not known, it should be clearly stated that the reason is not provided. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8484 was added to the Healthcare Common Procedure Coding System on January 01, 2008. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. The code has an effective date of January 01, 2015, and it is still active and in use.

7. Medicare and Insurance Coverage

HCPCS code G8484 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the service is bundled or not covered by Part B. The multiple pricing indicator code is 9, which means that the value is not established or not applicable as HCPCS is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G8484 should be billed:

1. A patient visits their primary care physician for a routine check-up, but the influenza immunization is not administered due to a documented allergy to the vaccine.
2. A patient visits an urgent care clinic with flu-like symptoms, but the influenza immunization is not administered due to the patient’s refusal.
3. A patient visits a pharmacy for the influenza immunization, but the vaccine is not administered due to the unavailability of the vaccine at that time.
4. A patient visits a healthcare facility for the influenza immunization, but the vaccine is not administered due to a medical contraindication.
5. A patient visits a healthcare provider for the influenza immunization, but the vaccine is not administered due to the patient’s recent recovery from a severe illness.