How To Use HCPCS Code G8753

HCPCS code G8753 describes the most recent systolic blood pressure measurement that is equal to or greater than 140 mmHg. This code is used to indicate a specific threshold for high blood pressure readings. In this article, we will explore the details of HCPCS code G8753, 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 G8753?

HCPCS code G8753 is used to identify the most recent systolic blood pressure measurement that is equal to or greater than 140 mmHg. It is a specific code that indicates a high blood pressure reading. This code is important for medical coders and healthcare providers to accurately document and track patients’ blood pressure levels.

2. Official Description

The official description of HCPCS code G8753 is “Most recent systolic blood pressure >= 140 mmHg.” The short description is “Sys bp > or = 140.” These descriptions provide a clear understanding of the purpose and meaning of this code.

3. Procedure

1. When documenting the systolic blood pressure measurement, ensure that it is the most recent reading.
2. Check that the systolic blood pressure is equal to or greater than 140 mmHg.
3. Record the measurement accurately in the patient’s medical records.

It is important to follow these steps to ensure proper documentation and coding of the patient’s blood pressure measurement.

4. When to use HCPCS code G8753

HCPCS code G8753 should be used when the most recent systolic blood pressure measurement is equal to or greater than 140 mmHg. This code is applicable in situations where the patient’s blood pressure exceeds the threshold for high blood pressure. It is important to use this code accurately to reflect the patient’s health condition and facilitate proper reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8753, healthcare providers need to document the most recent systolic blood pressure measurement that is equal to or greater than 140 mmHg. This documentation should be clear, accurate, and supported by the patient’s medical records. It is essential to follow the specific guidelines provided by the payer to ensure proper reimbursement for this service.

6. Historical Information and Code Maintenance

HCPCS code G8753 was added to the Healthcare Common Procedure Coding System on January 01, 2012. Since its addition, 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 inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code G8753 is covered by Medicare and other insurance providers. 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 is bundled or not covered separately. The multiple pricing indicator code is 9, which means that the value for this code is not established or not applicable as HCPCS is not priced separately by Part B.

8. Examples

Here are five examples of when HCPCS code G8753 should be billed:

1. A patient visits their primary care physician for a routine check-up, and their most recent systolic blood pressure measurement is 150 mmHg.
2. A patient is admitted to the emergency room with symptoms of high blood pressure, and their most recent systolic blood pressure measurement is 160 mmHg.
3. A patient undergoes a pre-operative assessment, and their most recent systolic blood pressure measurement is 145 mmHg.
4. A patient is being monitored for hypertension management, and their most recent systolic blood pressure measurement is 155 mmHg.
5. A patient participates in a clinical trial for blood pressure management, and their most recent systolic blood pressure measurement is 170 mmHg.