How To Use HCPCS Code G8763

HCPCS code G8763 describes the completion of all quality actions for the applicable measures in the hypertension (htn) measures group for a specific patient. This code indicates that the necessary quality actions have been performed to address hypertension-related measures for the patient.

1. What is HCPCS G8763?

HCPCS code G8763 is used to identify the completion of all quality actions for the applicable measures in the hypertension (htn) measures group for a specific patient. It signifies that the necessary actions have been taken to address hypertension-related measures for the patient.

2. Official Description

The official description for HCPCS code G8763 is “All quality actions for the applicable measures in the hypertension (htn) measures group have been performed for this patient.” The short description for this code is “Hyperten mg qual act perform.”

3. Procedure

1. The provider must review the applicable measures in the hypertension (htn) measures group for the patient.
2. They must ensure that all quality actions related to these measures have been performed.
3. If all quality actions have been completed, the provider can assign HCPCS code G8763 to indicate the successful completion of these actions.

4. When to use HCPCS code G8763

HCPCS code G8763 should be used when all quality actions for the applicable measures in the hypertension (htn) measures group have been performed for a specific patient. It indicates that the necessary actions to address hypertension-related measures have been completed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G8763, healthcare providers must ensure that the necessary documentation is in place to support the completion of all quality actions for the applicable measures in the hypertension (htn) measures group. This may include documentation of the specific actions taken, the results of any tests or assessments, and any other relevant information.

6. Historical Information and Code Maintenance

HCPCS code G8763 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It has an action effective date of January 1, 2015, indicating that no maintenance actions have been taken for this code. The code is terminated as of December 31, 2014, meaning it is no longer in use.

7. Medicare and Insurance Coverage

The coverage for HCPCS code G8763 is determined by carrier judgment (HCPCS Coverage Code C). The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. This could be due to the service not being covered, bundled, or used by Part A only. The multiple pricing indicator code is 9, indicating that the code 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 G8763 should be billed:

1. A patient with hypertension has undergone all necessary quality actions, including regular blood pressure monitoring, lifestyle modifications, and medication management.
2. A healthcare provider has completed all quality actions for a patient in the hypertension (htn) measures group, including education on hypertension management and regular follow-up appointments.
3. A patient with hypertension has received all recommended screenings and tests, such as lipid profile tests and kidney function tests.
4. A healthcare provider has documented the completion of all quality actions for a patient in the hypertension (htn) measures group, including the implementation of a personalized hypertension management plan.
5. A patient with hypertension has successfully achieved and maintained blood pressure control through the completion of all necessary quality actions.