How To Use HCPCS Code G8740

HCPCS code G8740 describes the situation where the left ventricular ejection fraction (LVEF) is not performed or assessed, and the reason for this is not given. This code is used to indicate that the LVEF measurement was not conducted or documented, and the specific reason for this omission is not provided.

1. What is HCPCS G8740?

HCPCS code G8740 is a specific code used in medical coding to identify the absence of left ventricular ejection fraction (LVEF) assessment and the lack of information regarding the reason for not performing this evaluation. It is important for medical coders to accurately assign this code when the LVEF measurement is not conducted or documented, and the reason for its omission is not provided.

2. Official Description

The official description of HCPCS code G8740 is “Left ventricular ejection fraction (LVEF) not performed or assessed, reason not given.” This description clearly indicates that the LVEF assessment was not conducted, and the specific reason for not performing this evaluation is not provided.

3. Procedure

1. The provider should review the patient’s medical records and determine if the LVEF assessment was performed or not.
2. If the LVEF assessment was not conducted, the provider should document the reason for not performing this evaluation, if available.
3. The absence of LVEF assessment and the lack of information regarding the reason for not performing this evaluation should be coded using HCPCS code G8740.

4. When to use HCPCS code G8740

HCPCS code G8740 should be used when the left ventricular ejection fraction (LVEF) assessment is not performed or assessed, and the specific reason for not conducting this evaluation is not provided. It is important to accurately assign this code to reflect the absence of LVEF assessment and the lack of information regarding the reason for not performing this evaluation.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code G8740, healthcare providers need to document the absence of LVEF assessment and the reason for not performing this evaluation, if available. This documentation is crucial for accurate billing and reimbursement purposes. Providers should ensure that the medical records clearly indicate the lack of LVEF assessment and the specific reason for not conducting this evaluation.

6. Historical Information and Code Maintenance

HCPCS code G8740 was terminated on December 31, 2014. This code was no longer maintained after this date, and no updates or revisions were made. It is important for medical coders to be aware of the termination date of this code and ensure that it is not used for services provided after December 31, 2014.

7. Medicare and Insurance Coverage

HCPCS code G8740 is classified as a carrier judgment code, which means that coverage and reimbursement decisions are made by the insurance carrier based on their individual policies and guidelines. Medicare and other insurance providers may have specific criteria for coverage and reimbursement of services associated with this code. It is important for healthcare providers to verify the coverage and reimbursement policies of the respective insurance carriers.

8. Examples

Here are five examples of scenarios where HCPCS code G8740 should be billed:

1. A patient’s medical records indicate that the left ventricular ejection fraction (LVEF) assessment was not performed, and there is no documented reason for not conducting this evaluation.
2. A provider determines that the LVEF assessment was not conducted during a patient’s visit, and there is no specific reason provided for not performing this evaluation.
3. A patient’s medical records indicate that the LVEF assessment was not performed, and the reason for not conducting this evaluation is not documented.
4. A provider determines that the LVEF assessment was not conducted during a patient’s visit, and there is no information available regarding the reason for not performing this evaluation.
5. A patient’s medical records indicate that the LVEF assessment was not performed, and there is no explanation provided for not conducting this evaluation.