How To Use HCPCS Code G8764

HCPCS code G8764 describes the completion of all quality actions for the applicable measures in the cardiovascular prevention measures group for a specific patient. This code indicates that the necessary actions have been taken to ensure the patient’s cardiovascular health is being monitored and managed effectively.

1. What is HCPCS G8764?

HCPCS code G8764 is used to identify when all quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for a patient. It signifies that the necessary steps have been taken to ensure the patient’s cardiovascular health is being properly managed and monitored.

2. Official Description

The official description of HCPCS code G8764 is “All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for this patient.” The short description for this code is “Car prev mg qual act perform.”

3. Procedure

1. Review the patient’s medical history and assess their cardiovascular health status.
2. Perform necessary diagnostic tests and screenings to evaluate the patient’s cardiovascular risk factors.
3. Develop a personalized cardiovascular prevention plan based on the patient’s risk factors and medical history.
4. Implement the recommended preventive measures, such as lifestyle modifications, medication management, and regular follow-up appointments.
5. Monitor the patient’s progress and make any necessary adjustments to the prevention plan.
6. Document all quality actions performed for the applicable measures in the cardiovascular prevention measures group.

4. When to use HCPCS code G8764

HCPCS code G8764 should be used when all quality actions for the applicable measures in the cardiovascular prevention measures group have been completed for a specific patient. It indicates that the necessary steps have been taken to manage and monitor the patient’s cardiovascular health effectively.

5. Billing Guidelines and Documentation Requirements

Healthcare providers should ensure proper documentation of all quality actions performed for the applicable measures in the cardiovascular prevention measures group. This documentation should include details of the specific actions taken, such as lifestyle modifications, medication management, and follow-up appointments. When billing for services related to HCPCS code G8764, providers should follow the standard billing guidelines and requirements set forth by the relevant insurance carriers.

6. Historical Information and Code Maintenance

HCPCS code G8764 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It has an effective date of January 1, 2015. This code does not have any maintenance actions associated with it, as indicated by the action code N, which means no maintenance for this code. It was terminated on December 31, 2014.

7. Medicare and Insurance Coverage

The coverage for HCPCS code G8764 is determined by the carrier’s 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. It may be bundled with other services or not covered by Medicare. The multiple pricing indicator code is 9, indicating that the value for this code is not established. Providers should check with Medicare or other insurance carriers for specific coverage and reimbursement information.

8. Examples

Here are five examples of when HCPCS code G8764 should be billed:

1. A patient with a history of cardiovascular disease who has completed all recommended preventive measures, including lifestyle modifications, medication management, and regular follow-up appointments.
2. A patient with multiple cardiovascular risk factors who has successfully implemented and completed the recommended preventive actions.
3. A patient who has undergone diagnostic tests and screenings for cardiovascular risk factors and has followed through with all subsequent preventive measures.
4. A patient who has consistently adhered to the prescribed medication regimen and lifestyle modifications for cardiovascular health.
5. A patient who has attended all scheduled follow-up appointments and has shown improvement in their cardiovascular health status.