How To Use HCPCS Code G8682

HCPCS code G8682 describes the performance of left ventricular function (LVF) testing, which is documented as being performed prior to discharge or in the previous 12 months. This code is used to identify and bill for the specific service provided by healthcare providers. In this article, we will explore the details of HCPCS code G8682, 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 G8682?

HCPCS code G8682 is a specific code used to identify and bill for LVF testing that has been documented as being performed prior to discharge or within the previous 12 months. It is important to note that this code is terminated as of December 31, 2014, and should not be used for services provided after this date.

2. Official Description

The official description of HCPCS code G8682 is “LVF testing documented as being performed prior to discharge or in the previous 12 months.” The short description for this code is “LVG test perf.”

3. Procedure

1. The provider performs LVF testing on the patient.
2. The testing should be documented as being performed prior to discharge or within the previous 12 months.
3. The results of the LVF testing should be properly documented in the patient’s medical records.

4. When to use HCPCS code G8682

HCPCS code G8682 should be used when LVF testing has been performed and documented as being done prior to discharge or within the previous 12 months. It is important to ensure that the documentation clearly states the date of the testing and that it falls within the specified timeframe.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8682, healthcare providers should ensure that the documentation includes the following:

• Date of the LVF testing
• Documentation stating that the testing was performed prior to discharge or within the previous 12 months
• Results of the LVF testing

These documentation requirements are essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8682 was added to the Healthcare Common Procedure Coding System on January 01, 2011. It has an effective date of January 01, 2015, which means it is no longer valid for billing purposes after this date. 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 insurance coverage for HCPCS code G8682 may vary. It is important to check with the specific payer to determine if this code is payable and to understand the pricing and coverage policies. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. The multiple pricing indicator code is 9, which indicates that the value is not established or the code is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G8682 should be billed:

1. A patient undergoes LVF testing prior to discharge from a hospital stay.
2. A patient has LVF testing performed during a routine follow-up visit within the previous 12 months.
3. A patient undergoes LVF testing as part of a pre-operative evaluation prior to a cardiac procedure.
4. A patient with a history of heart failure has LVF testing performed during a routine cardiology visit within the previous 12 months.
5. A patient is admitted to the emergency department with symptoms of heart failure and LVF testing is performed prior to discharge.