How To Use HCPCS Code G8662

HCPCS code G8662 describes the residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given. This code is used to indicate that the patient’s low back impairment score could not be determined due to the patient not completing the necessary evaluation or assessment. It is important for medical coders to understand the specific meaning and usage of this code to ensure accurate billing and documentation.

1. What is HCPCS G8662?

HCPCS code G8662 is a specific code used in medical coding to identify the residual score for the low back impairment not measured due to the patient not completing the low back fs prom at initial evaluation and/or near discharge, reason not given. This code is used to indicate that the patient’s low back impairment score could not be determined due to incomplete evaluation or assessment. It is important for medical coders to accurately assign this code to ensure proper documentation and billing.

2. Official Description

The official description of HCPCS code G8662 is “Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge, reason not given.” The short description for this code is “Rafs crs lbi no scor no surv.” These descriptions provide a clear understanding of the purpose and meaning of this specific code.

3. Procedure

1. The procedure for HCPCS code G8662 involves assessing the patient’s low back impairment using the low back fs prom (functional status) evaluation.
2. If the patient does not complete the low back fs prom evaluation at the initial evaluation and/or near discharge, the provider should document the reason for the patient’s non-completion.
3. The provider should indicate that the low back impairment score could not be determined due to the patient’s non-completion of the evaluation.
4. This information should be accurately documented in the patient’s medical records for proper coding and billing.

4. When to use HCPCS code G8662

HCPCS code G8662 should be used when the patient’s low back impairment score could not be determined due to the patient not completing the low back fs prom evaluation at the initial evaluation and/or near discharge. It is important to accurately document the reason for the patient’s non-completion of the evaluation to support the use of this code. This code should only be used in the specific context described to ensure proper coding and billing.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code G8662, healthcare providers need to document the patient’s non-completion of the low back fs prom evaluation and the reason for the non-completion. This documentation should be clear and specific to support the use of this code. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8662 was added to the Healthcare Common Procedure Coding System on January 01, 2011. As of January 01, 2023, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important for medical coders to stay updated on any changes or revisions to HCPCS codes to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

The coverage and pricing of HCPCS code G8662 may vary depending on the specific insurance provider. It is important for healthcare providers to check with Medicare or other insurance companies to determine if this code is payable and how it is priced. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. The multiple pricing indicator code is 9, indicating that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are some examples of when HCPCS code G8662 should be billed:

1. A patient presents with low back pain and is scheduled for an initial evaluation. However, the patient refuses to complete the low back fs prom evaluation. The provider documents the patient’s refusal and assigns HCPCS code G8662 to indicate that the low back impairment score could not be determined.
2. A patient is nearing discharge after receiving treatment for a low back injury. The provider attempts to complete the low back fs prom evaluation, but the patient experiences severe pain and is unable to complete the assessment. The provider documents the patient’s inability to complete the evaluation and assigns HCPCS code G8662 to indicate the non-measurement of the low back impairment score.
3. A patient is scheduled for an initial evaluation for low back pain. However, due to a scheduling conflict, the patient is unable to complete the low back fs prom evaluation. The provider documents the scheduling conflict and assigns HCPCS code G8662 to indicate that the low back impairment score could not be determined.
4. A patient is discharged after receiving treatment for a low back injury. The provider attempts to complete the low back fs prom evaluation, but the patient refuses to participate. The provider documents the patient’s refusal and assigns HCPCS code G8662 to indicate the non-measurement of the low back impairment score.
5. A patient is scheduled for an initial evaluation for low back pain. However, the provider forgets to administer the low back fs prom evaluation. The provider documents the oversight and assigns HCPCS code G8662 to indicate that the low back impairment score could not be determined.