How To Use HCPCS Code G8667

HCPCS code G8667 describes the residual score for the elbow, wrist, or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0). This code is used to indicate the assessment and measurement of the residual impairment in the upper extremity after treatment or rehabilitation.

1. What is HCPCS G8667?

HCPCS code G8667 is a specific code used in medical coding to identify the residual score for the elbow, wrist, or hand impairment. It is important to note that this code should only be used when the calculated score is equal to zero or greater than zero. This code helps healthcare providers accurately document and track the progress of patients with upper extremity impairments.

2. Official Description

The official description of HCPCS code G8667 is “Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)”. The short description for this code is “Rafscrs ewh scor >= 0”. These descriptions provide a clear understanding of the purpose and criteria for using this code.

3. Procedure

1. Perform a comprehensive assessment of the elbow, wrist, or hand impairment.
2. Calculate the residual score based on the assessment findings.
3. If the calculated score is equal to zero or greater than zero, assign HCPCS code G8667 to indicate the successful calculation of the residual score.

4. When to use HCPCS code G8667

HCPCS code G8667 should be used when the residual score for the elbow, wrist, or hand impairment has been successfully calculated and the score is equal to zero or greater than zero. This code is applicable in cases where the healthcare provider needs to document the assessment and measurement of the residual impairment in the upper extremity.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8667, healthcare providers need to ensure that the assessment and calculation of the residual score are properly documented in the patient’s medical records. This documentation should include details of the assessment process, the specific measurements taken, and the calculated score. It is important to provide sufficient information to support the use of this code for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8667 was added to the Healthcare Common Procedure Coding System on January 01, 2011. As of the effective date 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. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

The coverage and reimbursement for HCPCS code G8667 may vary depending on the specific policies of Medicare and other insurance providers. It is important for healthcare providers to review the pricing indicator code and multiple pricing indicator code associated with this code to determine how the service or supply is priced by Medicare or other insurers.

8. Examples

Here are five examples of when HCPCS code G8667 should be billed:

1. A patient undergoes rehabilitation for a wrist injury, and the residual score for the impairment is calculated to be 2. HCPCS code G8667 is used to document the successful calculation of the residual score.
2. Following elbow surgery, a patient’s residual impairment is assessed, and the calculated score is determined to be 0. HCPCS code G8667 is assigned to indicate the successful calculation of the residual score.
3. A patient with a hand injury receives ongoing therapy, and the residual score for the impairment is calculated to be 1. HCPCS code G8667 is used to document the successful calculation of the residual score.
4. After a wrist fracture, a patient’s residual impairment is evaluated, and the calculated score is determined to be 0. HCPCS code G8667 is assigned to indicate the successful calculation of the residual score.
5. A patient with chronic elbow pain undergoes a comprehensive assessment, and the residual score for the impairment is calculated to be 3. HCPCS code G8667 is used to document the successful calculation of the residual score.