How To Use HCPCS Code G8982

HCPCS code G8982 describes the procedure of changing and maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting. This code is used to identify the specific service provided by healthcare providers and is essential for accurate medical coding and billing.

1. What is HCPCS G8982?

HCPCS code G8982 is a specific code used in medical coding to identify the procedure of changing and maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting. It is important to note that this code is terminated as of December 31, 2019, and should not be used for services provided after this date.

2. Official Description

The official description of HCPCS code G8982 is “Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.” The short description for this code is “Body pos goal status.”

3. Procedure

1. During the therapy episode outset, the healthcare provider assesses the patient’s body position functional limitation and establishes the projected goal status.
2. At reporting intervals, the provider evaluates the progress of the patient’s body position functional limitation and adjusts the projected goal status if necessary.
3. At discharge or to end reporting, the provider determines the final body position functional limitation and documents the achieved goal status.

4. When to use HCPCS code G8982

HCPCS code G8982 should be used when documenting and billing for services related to changing and maintaining body position functional limitation. This code is applicable for therapy episodes and should be used to indicate the assessment, progress evaluation, and final determination of the patient’s body position goal status.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code G8982, healthcare providers need to document the assessment of body position functional limitation, the establishment of projected goal status, progress evaluations at reporting intervals, and the final determination of achieved goal status at discharge or to end reporting. This documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G8982 was added to the Healthcare Common Procedure Coding System on January 01, 2013. It has an effective date of January 01, 2020, indicating that it is no longer valid for use after this date. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and other insurance coverage for HCPCS code G8982 may vary. It is important to check with the specific insurance provider to determine if this code is payable. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. The multiple pricing indicator code is 9, indicating that it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code G8982 should be billed:

1. A patient undergoes physical therapy for improving body position functional limitation due to a musculoskeletal condition. The therapist assesses the initial limitation, establishes a projected goal status, evaluates progress at reporting intervals, and determines the achieved goal status at discharge.
2. A patient receives occupational therapy to address body position functional limitation resulting from a neurological condition. The therapist documents the initial assessment, sets a projected goal status, monitors progress during reporting intervals, and determines the final goal status at discharge.
3. A patient undergoes speech therapy to improve body position functional limitation related to a speech disorder. The therapist assesses the initial limitation, establishes a projected goal status, evaluates progress at reporting intervals, and determines the achieved goal status at discharge.
4. A patient receives physical therapy for body position functional limitation caused by a sports injury. The therapist assesses the initial limitation, sets a projected goal status, monitors progress during reporting intervals, and determines the final goal status at discharge.
5. A patient undergoes occupational therapy to address body position functional limitation resulting from a stroke. The therapist documents the initial assessment, establishes a projected goal status, evaluates progress at reporting intervals, and determines the achieved goal status at discharge.