How To Use HCPCS Code G8862

HCPCS code G8862 describes patients who are not receiving corticosteroids greater than or equal to 10mg/day for 60 or more consecutive days. This code is used to identify patients who do not meet the criteria for receiving corticosteroid treatment at the specified dosage and duration.

1. What is HCPCS G8862?

HCPCS code G8862 is a specific code used in medical coding to identify patients who are not receiving corticosteroids greater than or equal to 10mg/day for 60 or more consecutive days. It is important for medical coders to accurately assign this code to ensure proper documentation and billing for healthcare services provided to these patients.

2. Official Description

The official description of HCPCS code G8862 is “Patients not receiving corticosteroids greater than or equal to 10mg/day for 60 or greater consecutive days.” The short description for this code is “No corticostrd 10mg 60 days.”

3. Procedure

1. When assigning HCPCS code G8862, the medical coder should review the patient’s medical records to determine if they have been prescribed corticosteroids at a dosage of 10mg/day or higher for 60 or more consecutive days.
2. If the patient has not received corticosteroids at the specified dosage and duration, the medical coder should assign HCPCS code G8862 to indicate that the patient does not meet the criteria for corticosteroid treatment.
3. It is important for the medical coder to accurately document the absence of corticosteroid treatment in the patient’s medical records to support the use of HCPCS code G8862.

4. When to use HCPCS code G8862

HCPCS code G8862 should be used when documenting and billing for patients who do not meet the criteria for receiving corticosteroids at a dosage of 10mg/day or higher for 60 or more consecutive days. This code is used to indicate that the patient is not receiving corticosteroid treatment as specified.

5. Billing Guidelines and Documentation Requirements

When billing for services related to HCPCS code G8862, healthcare providers should ensure that the absence of corticosteroid treatment is clearly documented in the patient’s medical records. This documentation should include the dosage and duration of corticosteroid treatment, as well as any relevant clinical notes or physician orders.

6. Historical Information and Code Maintenance

HCPCS code G8862 was added to the Healthcare Common Procedure Coding System on January 1, 2012. It has an effective date of January 1, 2015. This code was terminated on December 31, 2014, indicating that it is no longer in use for billing purposes.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may have specific coverage policies for HCPCS code G8862. It is important for healthcare providers to review the coverage guidelines of each payer to determine if this code is payable. The pricing indicator code for HCPCS code G8862 is 00, which indicates that the service is not separately priced by Part B. The multiple pricing indicator code is 9, which means that the value for this code is not established.

8. Examples

Here are five examples of when HCPCS code G8862 should be billed:

1. A patient is prescribed corticosteroids at a dosage of 5mg/day for 30 consecutive days. HCPCS code G8862 should be assigned to indicate that the patient does not meet the criteria for corticosteroid treatment at the specified dosage and duration.
2. A patient is prescribed corticosteroids at a dosage of 10mg/day for 45 consecutive days. HCPCS code G8862 should be assigned to indicate that the patient does not meet the criteria for corticosteroid treatment at the specified duration.
3. A patient is prescribed corticosteroids at a dosage of 15mg/day for 60 consecutive days. HCPCS code G8862 should not be assigned as the patient meets the criteria for corticosteroid treatment at the specified dosage and duration.
4. A patient is not prescribed corticosteroids at any dosage or duration. HCPCS code G8862 should not be assigned as the patient does not meet the criteria for corticosteroid treatment.
5. A patient is prescribed corticosteroids at a dosage of 10mg/day for 75 consecutive days. HCPCS code G8862 should not be assigned as the patient meets the criteria for corticosteroid treatment at the specified dosage and duration.