How To Use HCPCS Code G8584

HCPCS code G8584 describes the absence of a beta-blocker medication at the time of discharge. This code is used to indicate that a patient did not receive a beta-blocker medication upon leaving the healthcare facility. In this article, we will explore the details of HCPCS code G8584, 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 G8584?

HCPCS code G8584 is used to identify the absence of a beta-blocker medication at the time of discharge. Beta-blockers are commonly prescribed medications that help manage various conditions such as high blood pressure, heart disease, and certain types of arrhythmias. However, in some cases, it may be determined that a patient does not require a beta-blocker medication upon discharge.

2. Official Description

The official description of HCPCS code G8584 is “No beta-blocker at discharge.” This description clearly indicates that the patient did not receive a beta-blocker medication when leaving the healthcare facility. The short description for this code is “No bblock disch.”

3. Procedure

1. The healthcare provider assesses the patient’s medical condition and determines whether a beta-blocker medication is necessary for their treatment.
2. If it is determined that the patient does not require a beta-blocker medication, this information is documented in the patient’s medical records.
3. At the time of discharge, the absence of a beta-blocker medication is noted in the discharge summary or other relevant documentation.

4. When to use HCPCS code G8584

HCPCS code G8584 should be used when a patient is discharged from a healthcare facility and did not receive a beta-blocker medication. This code is applicable when the decision to withhold a beta-blocker medication is made based on the patient’s specific medical condition and treatment plan.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8584, healthcare providers need to ensure that the absence of a beta-blocker medication is clearly documented in the patient’s medical records. This documentation should include the reason for not prescribing a beta-blocker and any alternative treatment plans or medications that were provided to the patient. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8584 was added to the Healthcare Common Procedure Coding System on January 1, 2010. It has a termination date of December 31, 2014. This code was categorized as a carrier judgment code, indicating that the decision to withhold a beta-blocker medication at discharge was based on the carrier’s assessment. 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 services associated with HCPCS code G8584. However, 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 may be bundled or not covered by Medicare or other insurers. It is important to check with the specific insurance provider for coverage and reimbursement details.

8. Examples

Here are some examples of scenarios where HCPCS code G8584 may be used:

1. A patient with a history of beta-blocker intolerance is discharged without a beta-blocker medication.
2. A patient with a contraindication to beta-blockers, such as severe asthma, is discharged without a beta-blocker medication.
3. A patient who is already on multiple medications that interact with beta-blockers is discharged without a beta-blocker medication.
4. A patient who is being managed with alternative medications for their specific medical condition is discharged without a beta-blocker medication.
5. A patient who refuses to take a beta-blocker medication is discharged without a beta-blocker medication.