How To Use HCPCS Code G8574

HCPCS code G8574 describes a specific medical condition or procedure related to isolated coronary artery bypass graft (CABG) surgery. This code is used to indicate that there was no occurrence of stroke following the CABG surgery. In this article, we will explore the details of HCPCS code G8574, 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 G8574?

HCPCS code G8574 is a specific code that is used to identify the absence of stroke following isolated CABG surgery. It is important to note that this code is only applicable in cases where there is no occurrence of stroke after the surgery.

2. Official Description

The official description of HCPCS code G8574 is “No stroke following isolated CABG surgery.” The short description for this code is “No strk cabg.”

3. Procedure

1. During isolated CABG surgery, the patient is placed under general anesthesia.
2. An incision is made in the chest to access the heart.
3. The surgeon takes a healthy blood vessel, usually from the leg or chest, and grafts it onto the blocked coronary artery.
4. The graft bypasses the blocked area, allowing blood to flow freely to the heart muscle.
5. The surgeon closes the incision and the patient is taken to the recovery area.

4. When to use HCPCS code G8574

HCPCS code G8574 should be used when documenting and billing for cases where there is no occurrence of stroke following isolated CABG surgery. It is important to accurately report this information to ensure proper coding and billing.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code G8574, healthcare providers should ensure that the medical record documentation clearly indicates the absence of stroke following isolated CABG surgery. This documentation should include relevant clinical notes, test results, and any other supporting information.

6. Historical Information and Code Maintenance

HCPCS code G8574 was added to the Healthcare Common Procedure Coding System on January 1, 2010. It has a termination date of December 31, 2020. As of January 1, 2021, this code is no longer maintained. The termination of this code indicates that it is no longer in use for reporting purposes.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code G8574 may vary. It is important to check with the respective payers to determine if this code is payable and to understand the specific coverage guidelines. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means that the value is not established or the code is not priced separately by Part B.

8. Examples

Here are some examples of when HCPCS code G8574 should be billed:

1. Example 1: A patient undergoes isolated CABG surgery, and there is no occurrence of stroke during the post-operative period. HCPCS code G8574 should be used to indicate the absence of stroke.
2. Example 2: A patient with a history of heart disease undergoes isolated CABG surgery. The patient recovers without any signs or symptoms of stroke. HCPCS code G8574 should be reported to indicate the absence of stroke.
3. Example 3: A patient undergoes isolated CABG surgery, and there is no evidence of stroke on post-operative imaging studies. HCPCS code G8574 should be used to document the absence of stroke.
4. Example 4: A patient undergoes isolated CABG surgery, and there are no clinical findings suggestive of stroke during the recovery period. HCPCS code G8574 should be reported to indicate the absence of stroke.
5. Example 5: A patient undergoes isolated CABG surgery, and there is no documentation of stroke in the medical record. HCPCS code G8574 should be used to indicate the absence of stroke.