How To Use HCPCS Code G8979

HCPCS code G8979 describes the functional limitation of mobility, specifically related to walking and moving around. This code is used to indicate the projected goal status of a patient’s mobility at the beginning of a therapy episode, at reporting intervals, and at discharge or the end of reporting. It is important for medical coders to understand the specific usage and meaning of this code to ensure accurate documentation and billing.

1. What is HCPCS G8979?

HCPCS code G8979 is a specific code used to identify the functional limitation of mobility in patients. It is used to indicate the projected goal status of a patient’s mobility at various stages of therapy, including the outset of the therapy episode, reporting intervals, and at discharge or the end of reporting. This code provides valuable information about the patient’s ability to walk and move around, helping healthcare providers assess and monitor their progress.

2. Official Description

The official description of HCPCS code G8979 is “Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.” This description accurately reflects the purpose and usage of this code.

3. Procedure

1. During the therapy episode outset, the healthcare provider assesses the patient’s mobility and determines their functional limitation in walking and moving around.
2. At reporting intervals, the provider reassesses the patient’s mobility and updates the projected goal status based on their progress.
3. At discharge or the end of reporting, the provider evaluates the patient’s final mobility status and documents it using HCPCS code G8979.

4. When to use HCPCS code G8979

HCPCS code G8979 should be used when documenting the functional limitation of mobility in patients. It is specifically used to indicate the projected goal status of a patient’s mobility at the beginning of a therapy episode, at reporting intervals, and at discharge or the end of reporting. This code helps healthcare providers track and monitor the progress of patients in terms of their ability to walk and move around.

5. Billing Guidelines and Documentation Requirements

When billing for services related to HCPCS code G8979, healthcare providers need to ensure accurate documentation of the patient’s mobility status. This includes documenting the functional limitation, projected goal status, and any changes observed during the therapy episode. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8979 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It has a coverage code of C, indicating carrier judgment, and an action code of N, meaning no maintenance for this code. The code was terminated on December 31, 2019. It is important for medical coders to stay updated on code maintenance and any changes or updates related to HCPCS code G8979.

7. Medicare and Insurance Coverage

HCPCS code G8979 may be covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. It is important to check with individual payers to determine the coverage and reimbursement policies for HCPCS code G8979.

8. Examples

Here are five examples of when HCPCS code G8979 should be billed:

1. A patient with a recent hip replacement surgery undergoing physical therapy to regain mobility.
2. A stroke patient receiving occupational therapy to improve their ability to walk and move around.
3. An elderly patient with arthritis undergoing regular physical therapy sessions to maintain their mobility.
4. A patient with a spinal cord injury receiving ongoing therapy to improve their ability to walk and move independently.
5. A patient with a musculoskeletal disorder undergoing rehabilitation to regain their mobility and functional independence.